Individual
DR. ANTHONY ITTNER TERNDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
205 W STEWART RD STE 108, MOUNT VERNON, WA 98273-9607
(360) 340-9874
Mailing address
PO BOX 93, DEER HARBOR, WA 98243-0093
(360) 230-8388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
FELLOW6813
—
101YP2500X
Professional Counselor
C1233
OR
106H00000X
Marriage & Family Therapist
T0367
OR
Other
Enumeration date
02/02/2007
Last updated
08/01/2024
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