SUSAN H PARK LMSW
NPI 1710007497
Counselor - Mental Health in Jackson, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 29, 2007

330 W MICHIGAN AVE, JACKSON, MI 49201(517) 787-7920(517) 787-2440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan H Park Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN H PARK LMSW (NPI 1710007497) is an individual mental health provider in Jackson, Michigan, licensed in Michigan (6801064663) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1710007497

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSUSAN H PARKCredential: LMSW

Location Address330 W MICHIGAN AVEJackson, MI 49201-2121

Mailing Address1751 S Sandstone RdJackson, MI 49201-8985 · (517) 787-7920 · Fax (517) 787-2440

Phone(517) 787-7920

Fax(517) 787-2440

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710007497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6801064663

330 W MICHIGAN AVE, Jackson, MI 49201

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS JAMES BURKE MA, LMSW, CAC-I

Social Worker