Individual provider · Type 1 NPI

Sam R. Tafoya

Mental Health Counselor · Cottage Grove, OR

NPI number 1972735942 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Fax (541) 942-9310

Mailing address

PO Box 1108 Acp 0033-19
Salem, OR 97308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972735942

Sam R. Tafoya's National Provider Identifier is 1972735942, issued on Aug 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Apr 10, 2019.