Individual provider · Type 1 NPI
Mary Ann Theresa Fabry, CADCII
Addiction (Substance Use Disorder) Counselor · Springfield, OR
NPI number
1295107423
Active
Practice location
105 W Q St Ste 5
Springfield, OR 97477-2188
Fax (541) 741-0522
Mailing address
PO Box 1962, 105 W Q Street #5 Springfield, Or 97477
Eugene, OR 97440-1962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 01-07-79 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295107423
Mary Ann Theresa Fabry, CADCII's National Provider Identifier is 1295107423, issued on Oct 27, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OR. The record was last updated on Oct 27, 2015.