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Susana Madeline Tamayo
Mental Health Counselor in Camarillo, California
NPI 1861041600

Susana Madeline Tamayo is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Susana Madeline Tamayo practices in Camarillo, CA. The NPI Number for Susana Madeline Tamayo is 1861041600 and holds a License No. (California).

The current practice location address for Susana Madeline Tamayo is 5284 Adolfo Rd Ste 100, Camarillo, CA and can be reached out via phone at 805-289-0120.

Location: 5284 Adolfo Rd Ste 100, Camarillo, CA, 93012-6790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861041600
Provider Name
Susana Madeline Tamayo
Credential
Provider Entity Type
Individual
Gender
Female
Address
5284 Adolfo Rd Ste 100, Camarillo, CA, 93012-6790
Phone Number
805-289-0120
Fax Number
Provider Enumeration Date
09/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56CC 05 CA
institution
Provider Business Practice Location Address Details
Address
5284 Adolfo Rd Ste 100
City
Camarillo
State
California
Zip
93012-6790
Phone Number
805-289-0120
Fax Number
person
Provider Business Mailing Address Details
Address
5284 Adolfo Rd Ste 100
City
Camarillo
State
California
Zip
93012-6790
Phone Number
805-289-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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