Individual
MS. SUEANN S BAWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
603 E ROBINSON ST, CARSON CITY, NV 89701-4108
(775) 883-4325
Mailing address
7 SCARLET CIR, CARSON CITY, NV 89706-0334
(775) 220-1190
(775) 882-5910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0632
NV
101YM0800X
Mental Health Counselor
Primary
0632
NV
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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