Provider Demographics
NPI:1528803913
Name:ANGUIANO, SUSAN RACHEL (MA, MFT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:RACHEL
Last Name:ANGUIANO
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S. KRAEMER BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6110
Mailing Address - Country:US
Mailing Address - Phone:714-570-1173
Mailing Address - Fax:
Practice Address - Street 1:101 S. KRAEMER BLVD.
Practice Address - Street 2:SUITE 230
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870
Practice Address - Country:US
Practice Address - Phone:714-570-1173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist