Individual provider · Type 1 NPI

Fawn Mathis

Mental Health Counselor · Coos Bay, OR

NPI number 1942997028 Active

Practice location

2020 Thompson Rd
Coos Bay, OR 97420-2041

Call (541) 267-3511 Map

Fax (541) 267-3512

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942997028

Fawn Mathis's National Provider Identifier is 1942997028, issued on Apr 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Apr 19, 2023.