Individual provider · Type 1 NPI

Abdul Fofanah

Mental Health Counselor · Portland, OR

NPI number 1235689191 Active

Practice location

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235689191

Abdul Fofanah's National Provider Identifier is 1235689191, issued on Oct 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 26, 2017.