Provider Demographics
NPI:1891416681
Name:YESIL, SUZAN (LPC)
Entity Type:Individual
Prefix:
First Name:SUZAN
Middle Name:
Last Name:YESIL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20865 APOLLO TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-2827
Mailing Address - Country:US
Mailing Address - Phone:806-507-0866
Mailing Address - Fax:
Practice Address - Street 1:106 IRVING ST NW STE 2300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2959
Practice Address - Country:US
Practice Address - Phone:806-507-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor