Individual
TERESA ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 19TH ST SE, SALEM, OR 97301-8888
(503) 238-0769
Mailing address
351 19TH ST SE, SALEM, OR 97301-8888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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