Individual
MS. ELLEN G TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4550
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0622
MA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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