Individual
BLAKE SUZELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
330 KING ST STE 5, WENATCHEE, WA 98801-2857
(509) 881-4059
(833) 879-7547
Mailing address
2835 ASPEN SHORES DR, EAST WENATCHEE, WA 98802-5870
(330) 307-4460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60815437
WA
101YM0800X
Mental Health Counselor
MC 60691506
WA
101YP2500X
Professional Counselor
C.1200592
OH
Other
Enumeration date
08/31/2012
Last updated
09/21/2019
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