Individual provider · Type 1 NPI

Faisal M. Mutua

Mental Health Counselor · Portland, OR

NPI number 1467530790 Active

Practice location

2330 NE Siskiyou St
Portland, OR 97212-2471

Mailing address

3202 SW Bertha Blvd Apt 27
Portland, OR 97239-6908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X215 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1467530790

Faisal M. Mutua's National Provider Identifier is 1467530790, issued on Nov 2, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.