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NPI Code Detail

MEDICARE: MICHELA FARNSWORTH LICSW

MEDICARE:   MICHELA  FARNSWORTH  LICSW
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCO60726027WA
21041C0700XClinical Social WorkerLW61016570WA

General Provider Information

NPI Number : 1285268797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELA FARNSWORTH LICSW
Provider Business Mailing Address
First Line : 800 FRANKLIN ST STE 200
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3356
Country : US
Telephone Number : 360-489-6195
Fax Number :
Provider Business Practice Location Address
First Line : 800 FRANKLIN ST STE 200
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3356
Country : US
Telephone Number : 360-489-6195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 02/24/2020

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Directions to “ MICHELA FARNSWORTH LICSW” Practice Location

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