Individual
SUZANNE DENISE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP, BA
Contact information
Practice address
928 22ND AVE S, ST PETERSBURG, FL 33705-2934
(727) 327-7656
Mailing address
709 JACARANDA DR, OLDSMAR, FL 34677-4545
(727) 327-7656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4180
FL
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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