MEDICARE: JULIANN KAYLENE HAFFEY MA

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
1	101YM0800X	Mental Health Counselor	LH60116244	WA

General Provider Information

NPI Number	:	1881858330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANN KAYLENE HAFFEY MA

Provider Business Mailing Address
First Line	:	325 S UNIVERSITY RD
Second Line	:	STE 202
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-6164
Country	:	US
Telephone Number	:	509-385-0292
Fax Number	:	509-534-9385

Provider Business Practice Location Address
First Line	:	325 S UNIVERSITY RD
Second Line	:	STE 202
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-6164
Country	:	US
Telephone Number	:	509-385-0292
Fax Number	:	509-534-9385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	04/13/2017

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