Individual provider · Type 1 NPI

Terry Jolly

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1508068743 Active

Practice location

461 NE Greenwood Ave
Bend, OR 97701

Fax (541) 312-6343

Mailing address

1342 NE 11th St
Bend, OR 97701-4408

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508068743

Terry Jolly's National Provider Identifier is 1508068743, issued on Jun 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Jul 8, 2007.