Farrell, Justin
Farrell, Justin is an sole proprietor health care provider with primary practice located at 1498 Se Tech Center Pl Suite 385, Vancouver WA 98683-9591. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Farrell, Justin can be contacted via phone (360) 619-2226.Contact Information
Primary practice address
1498 Se Tech Center Pl Suite 385
Vancouver WA 98683-9591
Phone: (360) 619-2226
Fax: (360) 326-9691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60173078 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4560 | Oregon |
Profile Details
| NPI number | 1407052558 |
|---|---|
| LBN Legal business name | Farrell, Justin |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jan 15th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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