Individual provider · Type 1 NPI

Susan Mihm

Mental Health Counselor · Fairview, OR

NPI number 1508319476 Active

Practice location

1945 NE 205th Ave
Fairview, OR 97024-9622

Fax (503) 492-4651

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508319476

Susan Mihm's National Provider Identifier is 1508319476, issued on Jul 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, OR. The record was last updated on Dec 13, 2016.