MEDICARE: GINGER TREE FALCONE MA, 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
1	106H00000X	Marriage & Family Therapist
2	106H00000X	Marriage & Family Therapist	LF60142386	WA

General Provider Information

NPI Number	:	1386953768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINGER TREE FALCONE MA, LMFT

Provider Business Mailing Address
First Line	:	PO BOX 1739
Second Line	:
City	:	MAPLE FALLS
State	:	WA
Zip	:	98266-1739
Country	:	US
Telephone Number	:	360-739-8676
Fax Number	:

Provider Business Practice Location Address
First Line	:	7744 UPHILL DR
Second Line	:
City	:	DEMING
State	:	WA
Zip	:	98244-9563
Country	:	US
Telephone Number	:	360-739-8676
Fax Number	:

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

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	05/06/2022

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