Provider Demographics
NPI:1912976424
Name:RING-HARRIS, SUSAN LOUISE (MFC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LOUISE
Last Name:RING-HARRIS
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20406 BRIAN WAY STE 4D
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6757
Mailing Address - Country:US
Mailing Address - Phone:310-488-9402
Mailing Address - Fax:310-208-0110
Practice Address - Street 1:20406 BRIAN WAY STE 4D
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-6757
Practice Address - Country:US
Practice Address - Phone:310-488-9402
Practice Address - Fax:310-208-0110
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 22442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health