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NPI Code Detail

MEDICARE: HANNAH NOELLE DEZONIA FARMER LMHC

MEDICARE: HANNAH NOELLE DEZONIA FARMER LMHC
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 Counselor
2103K00000XBehavior Analyst
3101YM0800XMental Health CounselorLH61524151WA

General Provider Information

NPI Number : 1497054241
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH NOELLE DEZONIA FARMER LMHC
Provider Business Mailing Address
First Line : 3401 NE 7TH PL
Second Line :
City : RENTON
State : WA
Zip : 98056-3920
Country : US
Telephone Number : 702-250-9968
Fax Number :
Provider Business Practice Location Address
First Line : 7100 FORT DENT WAY STE 220
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8553
Country : US
Telephone Number : 425-640-7009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2011
Last Update Date : 06/06/2024

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