Individual
MICHAEL FAUSTINO DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61622856
WA
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
PR70054100
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
07/12/2024
Last updated
07/27/2026
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