MRS. SUSAN ANNE BARGER RADT - NPI 1801565106 - Counselor in San Jacinto, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Mrs. Susan Anne Barger Radt NPPES

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

MRS. SUSAN ANNE BARGER RADT (NPI 1801565106) is an individual addiction (substance use disorder) provider in San Jacinto, California, licensed in California (R1367731019) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1801565106

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. SUSAN ANNE BARGERCredential: RADT

Location Address23931 WARREN RDSan Jacinto, CA 92582

Mailing Address23931 Warren RdSan Jacinto, CA 92582 · (951) 390-2267 · Fax (951) 390-2267

Phone(951) 390-2267

Fax(951) 390-2267

Sole ProprietorNo

Enumeration DateSeptember 9, 2021

NPPES CertifiedSeptember 9, 2021

✔ NPI 1801565106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · R1367731019

23931 WARREN RD, San Jacinto, CA 92582

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

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