Provider Demographics
NPI:1235566886
Name:FARAM, NORA RILEY (MSW,MHP, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:RILEY
Last Name:FARAM
Suffix:
Gender:F
Credentials:MSW,MHP, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12910 TOTEM LAKE BLVD NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2951
Mailing Address - Country:US
Mailing Address - Phone:425-814-5080
Mailing Address - Fax:425-814-5009
Practice Address - Street 1:MARIPOSA COUNSELING PLLC
Practice Address - Street 2:19125 NORTHCREEK PARKWAY, STE 49
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011
Practice Address - Country:US
Practice Address - Phone:425-364-9796
Practice Address - Fax:425-814-5009
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603032701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical