Individual provider · Type 1 NPI

Sara Fuller, LMHCA, LPC INTERN

Mental Health Counselor · Portland, OR

NPI number 1750996104 Active

Practice location

3583 NE Broadway St
Portland, OR 97232-1820

Mailing address

2425 NE 50th Ave, # 13656
Portland, OR 97213-0030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR5544 (OR)

Mental Health Counselor: Definition to come...

7 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1750996104

Sara Fuller, LMHCA, LPC INTERN's National Provider Identifier is 1750996104, issued on Sep 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 17, 2021.