Christian Fauerso

NPI #1124625561 in Salem, Oregon

Provider Information

NPI Number: 1124625561
Entity Type: Organization
Organization Name: Christian Fauerso
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 2493 STATE ST
City: Salem
State: Oregon
ZIP Code: 97301-4543
Phone: (503) 610-5756

Authorized Official

Name: MR. CHRISTIAN P FAUERSO, LPC
Title: OWNER
Phone: (503) 610-5756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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