| Doctor Name: | SUSAN M HEUMILLER |
| NPI Number: | 1003939257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LPCC |
| License Number: | 0115081 |
| Business Practice Address: | 2960 Rodeo Park Dr W Santa Fe, NM - 875056351 |
| Business Phone Number: | 5059869633 |
| Business Fax Number: | 5058201209 |
| Mailing Address: | 2960 Rodeo Park Dr W, SANTA FE |
| State: | NM |
| Postal Code: | 875056351 |
| Phone Number: | 5059869633 |
| Fax Number: | 5058201209 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 09/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0115081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |