Search › Washington › 101YM0800X
Angela Susilo, LMHCA
NPI 1831862598 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3210 Shorewood Dr Apt 145
Mercer Island, WA 98040 - Phone
- (331) 444-9206
Additional practice sites
- 123 Nw 36th St Ste 210, Seattle, WA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington