Search › California › 106H00000X
Susan Shaddick, M.A., MFT
NPI 1487982419 · on the registry since 2009 · sole proprietor
Practice
- Address
- 621 Cherry St
Santa Rosa, CA 95404 - Phone
- (707) 884-9706
- Fax
- (707) 884-1930
- Organisation at this address
- Golden State Performance And Family Counseling Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California