Healthcare Provider Details

I. General information

NPI: 1265116230
Provider Name (Legal Business Name): SUE LIN HESS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15501 SAN PABLO AVE # G317
RICHMOND CA
94806-5848
US

IV. Provider business mailing address

950 MASON ST APT 731
SAN FRANCISCO CA
94108-6000
US

V. Phone/Fax

Practice location:
  • Phone: 888-524-5122
  • Fax:
Mailing address:
  • Phone: 425-241-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: