Healthcare Provider Details

I. General information

NPI: 1598604357
Provider Name (Legal Business Name): SUZANNE BUDEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TECHNOLOGY DR STE L
IRVINE CA
92618-2404
US

IV. Provider business mailing address

6312 CAYUGA DR
WESTMINSTER CA
92683-2002
US

V. Phone/Fax

Practice location:
  • Phone: 949-943-1877
  • Fax:
Mailing address:
  • Phone: 714-655-7235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW113913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: