Individual
MR. DAVID SEAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
5951 EVANGELISTA ST S, SALEM, OR 97306-4012
(540) 818-3505
Mailing address
5951 EVANGELISTA ST S, SALEM, OR 97306-4012
(540) 818-3505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9531
OR
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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