Individual
THERESA MARIE GRIFFITH-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., QMHP
Contact information
Practice address
2015 NW 39TH ST, LINCOLN CITY, OR 97367-4824
(541) 921-0658
Mailing address
3632 SE DUNE AVE, LINCOLN CITY, OR 97367-1740
(541) 994-4873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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