Individual provider · Type 1 NPI

Katharine Elizabeth Fazal, LMFT

Mental Health Counselor · Portland, OR

NPI number 1689909301 Active

Practice location

712 SE Hawthorne Blvd
Portland, OR 97214-3538

Mailing address

712 SE Hawthorne Blvd Ste 100
Portland, OR 97214-3538

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689909301

Katharine Elizabeth Fazal, LMFT's National Provider Identifier is 1689909301, issued on Oct 14, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 3, 2017.