| Terry Pond Counseling, Llc | |
|
3295 Triangle Dr Se Ste 100 Salem OR 97302-4566 | |
| (503) 773-6809 | |
| Not Available |
| Full Name | Terry Pond Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3295 Triangle Dr Se Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Terry Denise Pond (OWNER) |
| Authorized Official Contact | 5037736809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Pond Counseling, Llc 1333 84th Pl Se Salem OR 97317-9179 Ph: (503) 990-2912 | Terry Pond Counseling, Llc 3295 Triangle Dr Se Ste 100 Salem OR 97302-4566 Ph: (503) 773-6809 |
| NPI Number | 1083470157 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083470157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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