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General NPI Number Information
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NPI Number | 1427966779
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Entity Type | Individual
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Provider Name | SUSAN CONNELL GABICA MA, MED
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 9900 WILLOWS RD NE
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City | REDMOND
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State | WA
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Zip | 98052-2531
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Country | US
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Telephone | 425-269-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 17412 NE 119TH WAY
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City | REDMOND
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State | WA
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Zip | 98052-2836
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Country | US
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Telephone | 425-269-0038
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHCA.MC.70149910
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License Number State | WA
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