Individual
KATELYN FAVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR STE B, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
9300 NE OAK VIEW DR STE B, VANCOUVER, WA 98662-6157
(360) 567-2211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61378659
WA
Other
Enumeration date
03/22/2016
Last updated
09/26/2023
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