Provider Demographics
NPI:1144367798
Name:STEIN, TERRY B (MS ED QMHP QMRP)
Entity type:Individual
Prefix:MS
First Name:TERRY
Middle Name:B
Last Name:STEIN
Suffix:
Gender:F
Credentials:MS ED QMHP QMRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4277
Mailing Address - Street 2:1190 MORNINGSIDE DRIVE SE
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-8277
Mailing Address - Country:US
Mailing Address - Phone:503-378-0050
Mailing Address - Fax:
Practice Address - Street 1:3000 MARKET STREET NE SUITE 530
Practice Address - Street 2:OPTIONS COUNSELING
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-390-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)