Healthcare Provider Details

I. General information

NPI: 1104766229
Provider Name (Legal Business Name): ILKA FAYE HONOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 S WORTHEN ST
WENATCHEE WA
98801-3890
US

IV. Provider business mailing address

139 S WORTHEN ST
WENATCHEE WA
98801-3890
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-6761
  • Fax:
Mailing address:
  • Phone: 509-662-6761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: