Individual
MR. PATRICK JOHN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
7017 NE HIGHWAY 99 STE 114, VANCOUVER, WA 98665-0554
(360) 694-7484
Mailing address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60910086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186691101
—
WA
Enumeration date
03/28/2019
Last updated
06/11/2019
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