Individual provider · Type 1 NPI

Susan Mary Fagin, MENTAL HEALTH COUNSE

Mental Health Counselor · Salem, OR

NPI number 1730404567 Active

Practice location

565 Union St NE Ste 100
Salem, OR 97301-2416

Mailing address

161 High St SE
Salem, OR 97301-3660

Other practice locations

  • 112 E Burnett St, Stayton, OR 97383-1735 · (831) 594-5225
  • 161 High St SE, Salem, OR 97301-3660 · (503) 910-2829
  • 460 13th St NE, Salem, OR 97301-2650 · (503) 371-7655

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Behavior Technician 106S00000XNone listed
Contractor 171W00000X9215 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

23 other providers at this address

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About NPI 1730404567

Susan Mary Fagin, MENTAL HEALTH COUNSE's National Provider Identifier is 1730404567, issued on Apr 5, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Oct 17, 2022.