MEDICARE: SUZANNE FINK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPC2323	AZ
2	101Y00000X	Counselor	0701005166	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	756794	OTHER	AZ	AHCCS

General Provider Information

NPI Number	:	1265595755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE FINK LPC

Provider Business Mailing Address
First Line	:	1823 NEWTON ST NW APT 105
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-1036
Country	:	US
Telephone Number	:	602-380-4872
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 WASHINGTON BLVD FL 4
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5717
Country	:	US
Telephone Number	:	703-228-1754
Fax Number	:	703-228-1174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	12/12/2013

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Directions to “ SUZANNE FINK LPC” Practice Location

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