Provider Demographics
NPI:1699905141
Name:LAMBROSE, SUSAN DIANE (LMFT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:DIANE
Last Name:LAMBROSE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4645 VIA VISTOSA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2333
Mailing Address - Country:US
Mailing Address - Phone:805-964-3887
Mailing Address - Fax:805-967-0259
Practice Address - Street 1:55 HITCHCOCK WAY STE 106
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6163
Practice Address - Country:US
Practice Address - Phone:805-964-3887
Practice Address - Fax:805-967-0259
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100225101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health