Suzanne Pauline Kiesz, LCSW
Social Worker, Clinical in Elk Grove, CA. Individual provider (NPI-1).
NPI number1164035259
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1164035259
- Entity type
- Individual (NPI-1)
- Name
- Ms. Suzanne Pauline Kiesz
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW83216 | CA | Yes |
Practice location
Creekside Counseling Associates8861 Williamson Drive, Suite 40
Elk Grove, CA 95624-1878
Phone 916-842-5229 · Fax 916-670-7880
Mailing address
Creekside Counseling Associates8861 Williamson Drive, Suite 40
Elk Grove, CA 95624-1878
Phone 916-842-5229 · Fax 916-670-7880
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