Provider Demographics
NPI:1407033954
Name:MARKLEY, JUDY ANNE (LMFT, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANNE
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:LMFT, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9924 E WOOLARD RD
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9583
Mailing Address - Country:US
Mailing Address - Phone:509-238-6733
Mailing Address - Fax:
Practice Address - Street 1:624 W HASTINGS RD STE 9
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2877
Practice Address - Country:US
Practice Address - Phone:509-499-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2062287Medicaid