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Search › California › 171M00000X

Justin Sudduth

NPI 1467726992 · on the registry since 2012 · sole proprietor

Practice

Address
720 Wood St
Eureka, CA 95501
Phone
(707) 268-2990
Organisation at this address
County Of Humboldt
County Of Humboldt
Humboldt County Mental Health
Humboldt County Behavioral Health
Humboldt County Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
856

Additional practice sites

  • 592 Rio Lindo Ave, Chico, CA

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
172V00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California