DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ANN FAHLSTROM, MFT 47696

Active Sole Proprietor

MARY ANN FAHLSTROM, MFT 47696 is a Marriage & Family Therapist healthcare provider located in SALEM, Oregon. NPI 1649340084 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SALEM, OR

Registration Details

NPI Number
1649340084
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2006 (19.721778849547 yrs)
Last Updated
Jun 30, 2015
Licenses
T0724 (OR)
47696 (CA)
Sole Proprietor
Yes

Practice Information

Address
189 LIBERTY ST NE
SUITE 202
SALEM, OR, 973013682
Browse OR providers · Browse ZIP 97301
Phone
5034095086
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in SALEM, OR

Name Credential NPI
CLAUDIA S GIMENEZ M.A. 1316928906
AMBER LYNNE POST LMFT 1477516821
TARANUM CHAUDRY 1346357142
CHRISTINE ELIZABETH BOYINGTON 1871680272
MS. FONDA LEE HART LMFT 1588726475
MR. ROB R ALVAREZ MMFT, QMHP 1144383944
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.