Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Fahlstrom, MFT47696

Individual provider Marriage & Family Therapist · NPI 1649340084

Mary Ann Fahlstrom, MFT47696 is a Marriage & Family Therapist in Salem, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

189 Liberty St NE Ste 202
Salem, OR 97301-3682
Phone: (503) 409-5086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T0724 (OR)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 47696 (CA)

Record details

NPI number1649340084
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT47696
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESJune 30, 2015

Other providers in Salem