Individual
TERA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1856 GRAND PRAIRIE RD SE, ALBANY, OR 97322-5521
(541) 967-6597
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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