| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUSAN GAIL BREDIMUS | 1902473309 | 2021-06-05 |
Susan Gail Bredimus is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902473309. Registration indicates Susan Gail Bredimus is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Susan Gail Bredimus |
| Practice Office Address | 954 W 16TH ST TEMPE, AZ US |
| Practice Office Telephone | 4803215107 |
| Practice Office Fax | 4803215107 |
| Mailing Address | 954 W 16TH ST TEMPE, AZ 852816410 US |
| Business Telephone | 4803215107 |
| Business Fax | 4803215107 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | LISAC-0940
AZ |