Provider Demographics
NPI:1386953768
Name:FALCONE, GINGER TREE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:TREE
Last Name:FALCONE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LOUANNE
Other - Last Name:KENNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:PO BOX 1739
Mailing Address - Street 2:
Mailing Address - City:MAPLE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:98266-1739
Mailing Address - Country:US
Mailing Address - Phone:360-739-8676
Mailing Address - Fax:
Practice Address - Street 1:7744 UPHILL DR
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:WA
Practice Address - Zip Code:98244-9563
Practice Address - Country:US
Practice Address - Phone:360-739-8676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
WALF60142386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist