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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA WYNONNA SUSILO, LMHCA

Active Sole Proprietor

ANGELA WYNONNA SUSILO, LMHCA is a Mental Health Counselor healthcare provider located in MERCER ISLAND, Washington. NPI 1831862598 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MERCER ISLAND, WA

Registration Details

NPI Number
1831862598
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2021 (5.0244336781556 yrs)
Last Updated
Aug 14, 2021
License
MC61094941 (WA)
Sole Proprietor
Yes

Practice Information

Address
3210 SHOREWOOD DR APT 145
MERCER ISLAND, WA, 980403224
Browse WA providers · Browse ZIP 98040
Phone
3314449206
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MERCER ISLAND, WA

Name Credential NPI
THERESE ANN JOHNSON LMHC 1033273404
MS. TERESA M HILDEBRANDT MSN, LMHC 1316062250
STEPHANIE TISDEL CRESWELL MA, LMHC, CMHS, MPH 1740461094
DONNA SIRJORD ELLIS LMHC 1033360417
DR. DENITA M BENYSHEK PH.D. 1194165530
MRS. REBECCA L DUDLEY M.ED 1235563859
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.