person
Mrs. Susan Gail Potter-ghazali
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1518098250

Susan Gail Potter-ghazali is an Addiction (Substance Use Disorder) Counselor based in Riverbank, CA and is specialized in Addiction (Substance Use Disorder). Susan Gail Potter-ghazali practices in Modesto, CA. The NPI Number for Susan Gail Potter-ghazali is 1518098250 and holds a License No. P0409151106 (California).

The current practice location address for Susan Gail Potter-ghazali is 800 Scenic Dr, Modesto, CA and can be reached out via phone at 209-525-6146 and via fax at 209-525-5361. You can also correspond with Susan Gail Potter-ghazali through the mailing address at 2619 CALEB CT, RIVERBANK, CA - 95367-2755 (mailing address contact number: ).

Location: 800 Scenic Dr, Modesto, CA, 95367-2755
person
Provider Profile Details
NPI Number
1518098250
Provider Name
Susan Gail Potter-ghazali
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Scenic Dr, Modesto, CA, 95367-2755
Phone Number
209-525-6146
Fax Number
209-525-5361
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Scenic Dr
City
State
Zip
95350-6131
Phone Number
209-525-6146
Fax Number
209-525-5361
person
Provider Business Mailing Address Details
Address
2619 Caleb Ct
City
State
Zip
95367-2755
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P0409151106 (California)
Definition
Definition to come...
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