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SUSAN REBECCA MCCLOSKY IMF 54639 NPI 1750550596


NPI Information

NPI: 1750550596
Provider Name: SUSAN REBECCA MCCLOSKY, IMF 54639
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
104 WALNUT AVE
SUITE 208
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 423-9444
Get Directions

Susan Rebecca Mcclosky, IMF 54639 is a marriage family therapist in Santa Cruz, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Susan Rebecca Mcclosky, IMF 54639 NPI is 1750550596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 WALNUT AVE
SUITE 208
SANTA CRUZ, CA
ZIP 95060-900
Phone: (831) 423-9444
Fax: (831) 423-9444

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistIMF 54639CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
154639OTHERCALIFORNIAIMF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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