Doctor Name: | MS. SUEANN VIAL |
NPI Number: | 1326293978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.F.T. / INTERN |
License Number: | IMF 60111 |
Business Practice Address: | 400 W Visalia Rd Suite B Farmersville, CA - 932231868 |
Business Phone Number: | 5597470115 |
Business Fax Number: | 5597470295 |
Mailing Address: | 400 W Visalia Rd, Suite B FARMERSVILLE |
State: | CA |
Postal Code: | 932231868 |
Phone Number: | 5597470115 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF 60111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |