Provider Demographics
NPI:1932532702
Name:GARCES, LORNA C (AGENCY AFFILIATED CO)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:C
Last Name:GARCES
Suffix:
Gender:F
Credentials:AGENCY AFFILIATED CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 S 50TH PL
Mailing Address - Street 2:UNIT D
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-8310
Mailing Address - Country:US
Mailing Address - Phone:206-407-8968
Mailing Address - Fax:
Practice Address - Street 1:605 S 50TH PL
Practice Address - Street 2:UNIT D
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-8310
Practice Address - Country:US
Practice Address - Phone:206-407-8968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60396534101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor