Provider Demographics
NPI:1396149399
Name:HESSEL, SUSAN (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:HESSEL
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12918 MUKILTEO SPEEDWAY #591
Mailing Address - Street 2:STE C-23
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087
Mailing Address - Country:US
Mailing Address - Phone:713-515-6636
Mailing Address - Fax:425-249-7353
Practice Address - Street 1:14211 64TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-3502
Practice Address - Country:US
Practice Address - Phone:713-515-6636
Practice Address - Fax:425-249-7353
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60367374101YM0800X
TX13256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional