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General NPI Number Information
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NPI Number | 1932626769
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Entity Type | Organization
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Legal Business Name | SUSAN DALEY COUNSELING PLLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 4219 SW JUNEAU ST
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City | SEATTLE
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State | WA
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Zip | 98136-1621
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Country | US
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Telephone | 425-503-9175
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 ARCH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-2009
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Country | US
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Telephone | 425-503-9175
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/COUNSELOR/MENTAL HEALTH
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Name | SUSAN DALEY
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Credential | LMHCA
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Telephone | 425-503-9175
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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 | 60769269
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License Number State |
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