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NPI Code Detail

MEDICARE: SUSAN DALEY LMHCA

MEDICARE: SUSAN DALEY LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor60769269WA

General Provider Information

NPI Number : 1588189278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DALEY LMHCA
Provider Business Mailing Address
First Line : 4219 SW JUNEAU ST
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4219 SW JUNEAU ST
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1621
Country : US
Telephone Number : 425-503-9175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 03/17/2018

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Directions to “ SUSAN DALEY LMHCA” Practice Location

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