Individual provider · Type 1 NPI

Anna Madeline Fantus

Mental Health Counselor · Albany, OR

NPI number 1700416393 Active

Practice location

936 8th Ave SW
Albany, OR 97321-2407

Call (541) 760-2197 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700416393

Anna Madeline Fantus's National Provider Identifier is 1700416393, issued on Jan 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albany, OR. The record was last updated on Jul 14, 2026.