MARY ALISA SUTHERLAND LPC NPI 1639179302

NPI Information

NPI: 1639179302
Provider Name: MARY ALISA SUTHERLAND, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3949 S 6TH ST
KLAMATH FALLS, OR
ZIP 97603
Phone: (800) 552-6290
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Mary Alisa Sutherland, LPC is a mental health counselor in Klamath Falls, OR. Mary Alisa Sutherland, LPC NPI is 1639179302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3949 S 6TH ST
KLAMATH FALLS, OR
ZIP 97603-746
Phone: (800) 552-6290
Fax: (541) 880-0560

The enumeration date for this NPI number is 7/26/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C-6446	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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