Evelyn H. Suda, MA

Individual provider Active NPI Professional Counselor · Hagatna, GU

NPI 1477024271 · NPPES record last updated Dec 6, 2018

Key facts

NPI
1477024271
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
IMF102 (GU)
Practice address
222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910
Phone
(671) 472-0218
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF102GUMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare Pacific Islands Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IMF102 GU Yes

Addresses

Primary practice location

222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910

Mailing address

PO Box 25126
Barrigada, GU 96921-5126
Phone (671) 988-4570

Other providers in Hagatna, GU

All providers in Hagatna, GU · Professional Counselor in Guam

Sources for this page

Verify at the official NPI Registry.