Basic Information
Provider Information
NPI: 1851712590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARAMO
FirstName: SULEMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2751 NAPA VALLEY CORPORATE DR # B
Address2:  
City: NAPA
State: CA
PostalCode: 945586216
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2751 NAPA VALLEY CORPORATE DR # B
Address2:  
City: NAPA
State: CA
PostalCode: 945586216
CountryCode: US
TelephoneNumber: 7072534279
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/24/2013
LastUpdateDate: 03/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N Behavioral Health & Social Service ProvidersCounselor 
106H00000X  N Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
171M00000X  N Other Service ProvidersCase Manager/Care Coordinator 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
101YM0800X CAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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