Individual
BROOKE M TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5441 S MACADAM AVE STE 5395, PORTLAND, OR 97239-3822
(323) 393-3714
Mailing address
PO BOX 5530, BOSSIER CITY, LA 71171-5530
(601) 383-1985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C11280
OR
101YM0800X
Mental Health Counselor
Primary
R7934
OR
Other
Enumeration date
10/07/2022
Last updated
02/24/2026
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