Provider Demographics
NPI:1942856828
Name:SUEIRRO, MARILYN N (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:N
Last Name:SUEIRRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:N
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA
Mailing Address - Street 1:1839 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7607
Mailing Address - Country:US
Mailing Address - Phone:206-459-9064
Mailing Address - Fax:
Practice Address - Street 1:1839 LAKE DR
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-7607
Practice Address - Country:US
Practice Address - Phone:206-459-9064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health