Individual ProviderSamantha Renee FarmerCounselorBehavioral Health & Social Service ProvidersPractice Address4421 NE St Johns Rd, Vancouver, WA 98661-2573(360) 524-7894PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Renee Farmer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1356693782Provider TypeIndividualFull NameFarmer, Samantha ReneeTitleMs.CredentialMS, NCC, LMHC, LMFTAGenderFemaleSole ProprietorNoEnumeration Date10/9/2012Last Updated10/17/2023Contact InformationPractice LocationPractice Address4421 NE St Johns Rd, Vancouver, WA 98661-2573Phone(360) 524-7894Fax(360) 695-9803Mailing LocationMailing Address4421 NE St Johns Rd, Vancouver, WA 98661-2573Phone(360) 524-7894Fax(360) 695-9803Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH61398879WashingtonCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMG61135422WashingtonCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG61135811Washington