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General NPI Number Information
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NPI Number | 1942955372
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Entity Type | Individual
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Provider Name | SUSIE SUBILS LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 625 4TH AVE STE 203
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City | KIRKLAND
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State | WA
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Zip | 98033-9028
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Country | US
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Telephone | 813-787-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 5019 112TH AVE NE APT B
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City | KIRKLAND
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State | WA
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Zip | 98033-7750
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Country | US
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Telephone | 813-787-2557
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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 | LH61387505
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH19983
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License Number State | FL
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