Individual
THERESE N MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., QMHP
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Mailing address
410 N 9TH ST, PO BOX 5, COTTAGE GROVE, OR 97424-1307
(541) 942-2850
(541) 942-1574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
C8458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019047
—
OR
Enumeration date
04/17/2009
Last updated
06/10/2026
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