Doctor Name: | MS. SUSAN EDITH BRUMM |
NPI Number: | 1023129137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, LMHC |
License Number: | 39001787A |
Business Practice Address: | 603 W F St Oakdale, CA - 953613734 |
Business Phone Number: | 2094046283 |
Business Fax Number: | 2098488825 |
Mailing Address: | 603 W F St, OAKDALE |
State: | CA |
Postal Code: | 953613734 |
Phone Number: | 2094046283 |
Fax Number: | 2098488825 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001787A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |