Most Relevant Information
Provider Data
| NPI Number: | 1003369943 |
| Provider Name: | SUSAN HINSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LMHC14290 |
Most Important Dates
| Enumeration Date: | 07/27/2016 |
| Last Updated: | 07/27/2016 |
Provider Practice Location
702 S RIDGEWOOD AVE
DAYTONA BEACH
FL
321145332
Practice Location Phone/Fax
| Phone: | 3862541262 |
| Fax: |
Provider Mailing Location
702 S RIDGEWOOD AVE
DAYTONA BEACH
FL
321145332
Provider Mailing Phone/Fax
| Phone: | 3862541262 |
| Fax: |