Individual provider · Type 1 NPI

Sammy Travis Freshner Jr., M.ED, MAC, LPCRA

Mental Health Counselor · Gresham, OR

NPI number 1003691114 Active

Practice location

1584 NE 8th St Ste 200
Gresham, OR 97030-5746

Call (503) 890-8773 Map

Mailing address

3650 NE Alton Ct
Fairview, OR 97024-7736

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR5274 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1003691114

Sammy Travis Freshner Jr., M.ED, MAC, LPCRA's National Provider Identifier is 1003691114, issued on Aug 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Aug 28, 2023.