Most Relevant Information
Provider Data
| NPI Number: | 1003330994 |
| Provider Name: | MOLLIE FAYE TERPENING LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C5173 |
Most Important Dates
| Enumeration Date: | 08/01/2017 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
15 CRATER LAKE AVE
MEDFORD
OR
975047444
Practice Location Phone/Fax
| Phone: | 5418905180 |
| Fax: | 5417705070 |
Provider Mailing Location
PO BOX 503010
WHITE CITY
OR
975030813
Provider Mailing Phone/Fax
| Phone: | 5418905180 |
| Fax: | 5417705070 |