Provider Demographics
NPI:1811504822
Name:FIELDS-KUEHL, SUSANNA MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:SUSANNA
Middle Name:MARIE
Last Name:FIELDS-KUEHL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SUSANNA
Other - Middle Name:MARIE
Other - Last Name:KUEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9500 ANNAPOLIS RD STE B6
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2079
Mailing Address - Country:US
Mailing Address - Phone:240-394-8972
Mailing Address - Fax:
Practice Address - Street 1:9500 ANNAPOLIS RD STE B6
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2079
Practice Address - Country:US
Practice Address - Phone:240-394-8972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC11128101YM0800X
MDLGP9363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health