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Martha Fairley, LMHC,NCC
Mental Health Counselor in Colville, Washington
NPI 1467981050

Martha Fairley is a Mental Health Counselor based in Colville, WA and is specialized in Mental Health. Martha Fairley practices in Colville, WA and has the professional credentials of LMHC,NCC. The NPI Number for Martha Fairley is 1467981050 and holds a License No. LH61182140 (Washington).

The current practice location address for Martha Fairley is 165 E Hawthorne Ave, Colville, WA and can be reached out via phone at 509-684-4597.

Location: 165 E Hawthorne Ave, Colville, WA, 99114-2629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467981050
Provider Name
Martha Fairley
Credential
LMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
165 E Hawthorne Ave, Colville, WA, 99114-2629
Phone Number
509-684-4597
Fax Number
Provider Enumeration Date
06/07/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MC60864281 01 WA WASHINGTON DEPARTMENT OF HEALTH
LPC-6745 01 ID IDAHO BUREAU OF OCCUPATIONAL LICENSES
institution
Provider Business Practice Location Address Details
Address
165 E Hawthorne Ave
City
Colville
State
Washington
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
person
Provider Business Mailing Address Details
Address
165 E Hawthorne Ave
City
Colville
State
Washington
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MC60864281 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH61182140 (Washington)
Definition
Definition to come...
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