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Organization
FAIRFAX HOSPITAL INC
Active
Organization
FAIRFAX HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MARIE DELLA PENTA ART-BC, LMHC (ART THERAPIST)
(425) 821-2000
Entity
Organization
Contact information
Practice address
1711 12TH AVE, SEATTLE, WA 98122-2435
(206) 375-5872
Mailing address
1729 12TH AVE APT 110, SEATTLE, WA 98122-2492
(206) 783-6850
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
05-019
NC
273R00000X
Psychiatric Hospital Unit
RC00053238
WA
Other
Enumeration date
02/02/2007
Last updated
09/11/2025
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