Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | #LH00009536 | WA |
N | 101YP1600X | Pastoral Counselor | ||
Y | 102L00000X | Psychologist | PY60099784 | WA |
Y | 103T00000X | Psychologist | PY60099784 | WA |
NPI | 1033204565 |
---|---|
Provider Name | Dr. David A Mcfarlane |
First Address | Renton, WA 98058-5344 |
Second Address | Renton, WA 98057-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 11/08/2014 |