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NPI Code Detail

MEDICARE: LISA A FAILLERS LMFT

MEDICARE: LISA A FAILLERS LMFT
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
1106H00000XMarriage & Family TherapistLF6123233WA

General Provider Information

NPI Number : 1235322041
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A FAILLERS LMFT
Provider Business Mailing Address
First Line : 3754 W INDIAN TRAIL RD
Second Line :
City : SPOKANE
State : WA
Zip : 99208-4736
Country : US
Telephone Number : 509-559-3100
Fax Number :
Provider Business Practice Location Address
First Line : 3754 W INDIAN TRAIL RD
Second Line :
City : SPOKANE
State : WA
Zip : 99208-4736
Country : US
Telephone Number : 509-559-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 01/04/2024

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