MARY SUPAN NPI 1972753101

NPI Information

NPI: 1972753101
Provider Name: MARY SUPAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2201 PARK TOWNE CIR STE 200
SACRAMENTO, CA
ZIP 95825
Phone: (916) 480-9000
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Mary Supan is a mental health counselor in Sacramento, CA. Mary Supan NPI is 1972753101. 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:

2201 PARK TOWNE CIR STE 200
SACRAMENTO, CA
ZIP 95825-418
Phone: (916) 480-9000
Fax: (916) 480-9380

The enumeration date for this NPI number is 9/24/2008 and was last updated on 9/24/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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