Provider Demographics
NPI:1093073447
Name:DALEY, FAITH YVONNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:YVONNE
Last Name:DALEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 E 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-3908
Mailing Address - Country:US
Mailing Address - Phone:509-822-8747
Mailing Address - Fax:509-769-5114
Practice Address - Street 1:705 W 7TH AVE STE H1
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2836
Practice Address - Country:US
Practice Address - Phone:509-822-8747
Practice Address - Fax:509-769-5114
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60267491101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2086316Medicaid