Susan Ristau, LPC

NPI 1881853026 · on the registry since 2008 · sole proprietor

Practice

Address: 1000 Chastain Rd Nw
Kennesaw Hall, Suite 2419
Kennesaw, GA 30144
Phone: (770) 423-6746
Fax: (678) 797-1000
Organisation at this address: Kennesaw State University
Kennesaw State University Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-03

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 Georgia