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Individual

MICHELA FARNSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
800 FRANKLIN ST STE 200, VANCOUVER, WA 98660-3356
(360) 489-6195
Mailing address
800 FRANKLIN ST STE 200, VANCOUVER, WA 98660-3356
(360) 489-6195

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60726027
WA
1041C0700X
Clinical Social Worker
Primary
LW61016570
WA

Other

Enumeration date
02/24/2020
Last updated
02/24/2020
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