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NPI Code Detail

MEDICARE: MR. MICHAEL SEAN LAFFERTY M.S. , LMHC, CMHS

MEDICARE: MR. MICHAEL SEAN LAFFERTY M.S. , LMHC, CMHS
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
1101YM0800XMental Health CounselorLH60567467WA

General Provider Information

NPI Number : 1407171119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL SEAN LAFFERTY M.S. , LMHC, CMHS
Provider Business Mailing Address
First Line : 4216 S MYRTLE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99223-6123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1498 SE TECH CENTER PL STE 300
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5509
Country : US
Telephone Number : 360-619-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2010
Last Update Date : 10/29/2024

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