Doctor Name: | JOSEE SUESS CARLIN |
NPI Number: | 1881947422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCDC III |
License Number: | 101YA0400X |
Business Practice Address: | 3402 Cottonwood St Rapid City, SD - 577023429 |
Business Phone Number: | 6057184870 |
Business Fax Number: | 6057184878 |
Mailing Address: | 3402 Cottonwood St, RAPID CITY |
State: | SD |
Postal Code: | 577023429 |
Phone Number: | 6057184870 |
Fax Number: | 6057184878 |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 101YA0400X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |