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Individual
MARTHA FAIRLEY
Active
Individual
MARTHA FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60864281
WA
101YM0800X
Mental Health Counselor
Primary
LH61182140
WA
101YM0800X
Mental Health Counselor
LPC-6745
ID
101YM0800X
Mental Health Counselor
MC60864281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-6745
IDAHO BUREAU OF OCCUPATIONAL LICENSES
ID
01
—
MC60864281
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
06/07/2017
Last updated
07/16/2024
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