Susan H Park is a Mental Health in Jackson, Michigan. Susan H Park practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Susan H Park is 1710007497. The last update date is 2007-07-08.
Susan H Park's current location address is 1751 S Sandstone Rd, Jackson, Michigan. You can contact this provider via phone number 5177877920 and fax number 5177872440. The mailing address for Susan H Park is 1751 S Sandstone Rd, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan H Park |
|---|---|
| Address | 1751 S Sandstone Rd, Jackson, Michigan |
| Phone Number | 5177877920 |
| Fax Number | 5177872440 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1710007497 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1751 S Sandstone Rd |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492018985 |
| Phone Number | 5177877920 |
| Fax Number | 5177872440 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6801064663 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code issued to Susan H Park by the Centers for Medicare & Medicaid Services?
The Susan H Park has been assigned the NPI (National Provider Identifier) 1710007497 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Susan H Park is physically located?
The Susan H Park is situated at the following address: 1751 S Sandstone Rd, Jackson, MI 492018985.
What is the area of specialization for Susan H Park, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan H Park is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710007497 to Susan H Park?
The Centers for Medicare & Medicaid Services assigned the 1710007497 to Susan H Park on 2007-03-29.
When was the Susan H Park's information last updated?
The Susan H Park's information was last updated on 2007-07-08.
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