Individual provider · Type 1 NPI

Mary Ann Fahlstrom, MFT 47696

Marriage & Family Therapist · Salem, OR

NPI number 1649340084 Active

Practice location

189 Liberty St NE, Suite 202
Salem, OR 97301-3682

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	T0724 (OR)
Marriage & Family Therapist	106H00000X	47696 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1649340084

Mary Ann Fahlstrom, MFT 47696's National Provider Identifier is 1649340084, issued on Nov 9, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Salem, OR. The record was last updated on Jun 30, 2015.