Individual
AUTUMN FARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 PORTAL WAY, FERNDALE, WA 98248-7833
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60774654
WA
101YM0800X
Mental Health Counselor
Primary
LH60774654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083481
—
WA
Enumeration date
05/05/2015
Last updated
07/17/2019
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