Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kokoro Suda

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336972132

Kokoro Suda is a Student in an Organized Health Care Education/Training Program in Sebastopol, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
4

Practice location Address checks out

438 Eddie Ln
Sebastopol, CA 95472-3425
Phone: (707) 535-9866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336972132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address438 Eddie Ln, Sebastopol, CA 95472-3425

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