Healthcare Provider Details

I. General information

NPI: 1386866200
Provider Name (Legal Business Name): STEVEN SUAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MOUNTAIN DR
SANTA BARBARA CA
93103
US

IV. Provider business mailing address

P.O BOX 41738
SANTA BARBARA CA
93140
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-1916
  • Fax:
Mailing address:
  • Phone: 805-453-1410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: