Individual provider · Type 1 NPI

Angela Wynonna Susilo, LMHCA

Mental Health Counselor · Mercer Island, WA

NPI number 1831862598 Active

Practice location

3210 Shorewood Dr Apt 145
Mercer Island, WA 98040-3224

Call (331) 444-9206 Map

Other practice locations

  • 123 NW 36th St Ste 210, Seattle, WA 98107-4959 · (206) 402-5767

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61094941 (WA)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Mercer Island

See all in Mercer Island →

About NPI 1831862598

Angela Wynonna Susilo, LMHCA's National Provider Identifier is 1831862598, issued on Jul 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mercer Island, WA. The record was last updated on Aug 14, 2021.