Individual
MRS. TERRI ZANCANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Mailing address
321 SE 3RD ST, PO BOX 893, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0106
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0698327
PRIVATE NONPROFIT
OR
Enumeration date
08/15/2013
Last updated
08/15/2013
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