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Mr. Sammy Travis Freshner JR., MED,MAC,LPCRA
Mental Health Counselor in Gresham, Oregon
NPI 1003691114

Sammy Travis Freshner JR. is a Mental Health Counselor based in Fairview, OR and is specialized in Mental Health. Sammy Travis Freshner JR. practices in Gresham, OR and has the professional credentials of MED,MAC,LPCRA. The NPI Number for Sammy Travis Freshner JR. is 1003691114 and holds a License No. R5274 (Oregon).

The current practice location address for Sammy Travis Freshner JR. is 1584 Ne 8Th St Ste 200, Gresham, OR and can be reached out via phone at 503-890-8773.

Location: 1584 Ne 8Th St Ste 200, Gresham, OR, 97024-7736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003691114
Provider Name
Sammy Travis Freshner JR.
Credential
MED,MAC,LPCRA
Provider Entity Type
Individual
Gender
Male
Address
1584 Ne 8Th St Ste 200, Gresham, OR, 97024-7736
Phone Number
503-890-8773
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1584 Ne 8Th St Ste 200
City
Gresham
State
Oregon
Zip
97030-5746
Phone Number
503-890-8773
Fax Number
person
Provider Business Mailing Address Details
Address
1584 Ne 8Th St Ste 200
City
Gresham
State
Oregon
Zip
97030-5746
Phone Number
503-890-8773
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R5274 (Oregon)
Definition
Definition to come...
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