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Ms. Susan Gail Mix, COUNSELINGINTERN
Mental Health Counselor in Tacoma, Washington
NPI 1801925417

Susan Gail Mix is a Mental Health Counselor based in Tacoma, WA and is specialized in Mental Health. Susan Gail Mix practices in Tacoma, WA and has the professional credentials of COUNSELINGINTERN. The NPI Number for Susan Gail Mix is 1801925417 and holds a License No. RC00023513 (Washington).

The current practice location address for Susan Gail Mix is 1323 Yakima Ave, Tacoma, WA and can be reached out via phone at 253-502-2696 and via fax at 253-502-2757.

Location: 1323 Yakima Ave, Tacoma, WA, 98405-4457
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Provider Profile Details
NPI Number
1801925417
Provider Name
Susan Gail Mix
Credential
COUNSELINGINTERN
Provider Entity Type
Individual
Gender
Female
Address
1323 Yakima Ave, Tacoma, WA, 98405-4457
Phone Number
253-502-2696
Fax Number
253-502-2757
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC00023513 01 WA REGISTERED COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1323 Yakima Ave
City
State
Zip
98405-4457
Phone Number
253-502-2696
Fax Number
253-502-2757
person
Provider Business Mailing Address Details
Address
1323 Yakima Ave
City
State
Zip
98405-4457
Phone Number
253-502-2696
Fax Number
253-502-2757
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
RC00023513 (Washington)
Definition
Definition to come...
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