Organization
THERESA PETERS COUNSELING LLC
Active
Parent organization
THERESA PETERS
Other names
Theresa Peters
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERESA PETERS
Authorized official
THERESA LOUISE PETERS LCSW (LICENCED CLINICAL SOCIAL WORKER)
(503) 437-4595
Entity
Organization
Contact information
Practice address
805 LIBERTY ST NE STE 2, SALEM, OR 97301-2463
(503) 437-4595
Mailing address
6023 ANGLE DR NE, SALEM, OR 97317-2327
(503) 437-4595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L6571
OR
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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