Individual provider · Type 1 NPI

Breanna Fanning

Mental Health Counselor · Portland, OR

NPI number 1306457189 Active

Practice location

18417 SE Oak St
Portland, OR 97233-4850

Call (971) 727-8026 Map

Other practice locations

  • 3019 SE 21st Ave, Portland, OR 97202-2315 · (918) 934-7605

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306457189

Breanna Fanning's National Provider Identifier is 1306457189, issued on Aug 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 13, 2020.