Individual provider · Type 1 NPI

Samar Azam Farooqui

Mental Health Counselor · Roseburg, OR

NPI number 1871295022 Active

Practice location

548 SE Jackson St
Roseburg, OR 97470-4983

Call (541) 440-3532 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1871295022

Samar Azam Farooqui's National Provider Identifier is 1871295022, issued on Mar 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Mar 21, 2023.