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Individual

MOLLIE FAYE TERPENING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1545 HARBECK RD, GRANTS PASS, OR 97527-5605
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5173
OR
101YP2500X
Professional Counselor
Primary
C5173
OR
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500729183
OR
Enumeration date
08/01/2017
Last updated
01/25/2025
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