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NPI Code Detail

MEDICARE: PATRICE ANNETTE FAKER-BOYLE MA, LMHC

MEDICARE: PATRICE ANNETTE FAKER-BOYLE MA, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH60610565WA

General Provider Information

NPI Number : 1831525278
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE ANNETTE FAKER-BOYLE MA, LMHC
Provider Business Mailing Address
First Line : 10437 MARINE VIEW DR SW
Second Line :
City : SEATTLE
State : WA
Zip : 98146-1085
Country : US
Telephone Number : 206-919-5229
Fax Number :
Provider Business Practice Location Address
First Line : 3500 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2731
Country : US
Telephone Number : 206-919-5229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 02/17/2016

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Directions to “ PATRICE ANNETTE FAKER-BOYLE MA, LMHC” Practice Location

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