Doctor Name: | MS. DEBRA SUSKIN GION |
NPI Number: | 1174691950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-#0277 |
Business Practice Address: | 21300 N John Wayne Pkwy Suite 120 Maricopa, AZ - 851398979 |
Business Phone Number: | 5208586262 |
Business Fax Number: | 4808390197 |
Mailing Address: | Po Box 12706, TEMPE |
State: | AZ |
Postal Code: | 852840046 |
Phone Number: | 5208586262 |
Fax Number: | 4808390197 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 04/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-#0277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |