Individual
MS. SARA L. FALLICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CADCI
Contact information
Practice address
10413 SE COOK CT APT 320, PORTLAND, OR 97222-1516
(503) 901-1563
Mailing address
10413 SE COOK CT APT 320, PORTLAND, OR 97222-1516
(503) 901-1563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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