Individual
MS. TERA HADASSAH GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4274 COMMERCIAL ST, ASTORIA, OR 97103-2338
(503) 396-3230
(503) 468-0136
Mailing address
PO BOX 967, ASTORIA, OR 97103-0967
(503) 396-3230
(503) 468-0136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C5529
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
C5529
OR
101YM0800X
Mental Health Counselor
C5529
OR
101YP2500X
Professional Counselor
Primary
C5529
OR
102L00000X
Psychoanalyst
C5529
OR
106H00000X
Marriage & Family Therapist
C5529
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174730
—
WA
05
—
500788856
—
OR
Enumeration date
12/08/2020
Last updated
10/30/2023
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