Individual
AMY BETH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-I
Contact information
Practice address
58646 MCNUTTY WAY, ST. HELENS, OR 97051
(503) 397-5211
Mailing address
58646 MCNUTTY WAY, ST. HELENS, OR 97051
(503) 397-5211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/23/2012
Last updated
02/08/2019
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