Individual provider · Type 1 NPI

Susan Gail Mix, COUNSELING INTERN

Mental Health Counselor · Tacoma, WA

NPI number 1801925417 Active

Practice location

1323 Yakima Ave
Tacoma, WA 98405-4457

Call (253) 502-2696 Map

Fax (253) 502-2757

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00023513 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1801925417

Susan Gail Mix, COUNSELING INTERN's National Provider Identifier is 1801925417, issued on Mar 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Jul 8, 2007.