Healthcare Provider Details

I. General information

NPI: 1598689010
Provider Name (Legal Business Name): MARI CARMEN LAFFEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 EVERGREEN WAY STE Z150
EVERETT WA
98204-3889
US

IV. Provider business mailing address

3318 185TH PL NE APT C207
ARLINGTON WA
98223-1822
US

V. Phone/Fax

Practice location:
  • Phone: 425-347-5121
  • Fax: 425-353-6425
Mailing address:
  • Phone: 360-707-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDPT.CO.70101552
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: