Provider Demographics
NPI:1700566742
Name:FARKAS, MONIKA
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:FARKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92962 FLORAS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LANGLOIS
Mailing Address - State:OR
Mailing Address - Zip Code:97450-9632
Mailing Address - Country:US
Mailing Address - Phone:619-481-1431
Mailing Address - Fax:
Practice Address - Street 1:222 E 2ND ST STE 4
Practice Address - Street 2:
Practice Address - City:COQUILLE
Practice Address - State:OR
Practice Address - Zip Code:97423-1864
Practice Address - Country:US
Practice Address - Phone:541-824-0990
Practice Address - Fax:541-824-0991
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist