| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUSAN KRISTINE ISAAC | 1629148168 | 2024-07-06 |
Susan Kristine Isaac is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629148168. Registration indicates Susan Kristine Isaac is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Susan Kristine Isaac MA MFT |
| Practice Office Address | 232 E GISH RD SAN JOSE, CA US |
| Practice Office Telephone | 4084378385 |
| Mailing Address | 232 E GISH RD SAN JOSE, CA 951124706 US |
| Business Telephone | 4084378385 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | MFT30393
CA |
| 41651 | OTHER | CA | COUNTY ID |