Dudley, Theresa Ann

Dudley, Theresa Ann is an individual health care provider with primary practice located at 1904 Elm St Suite 5, Forest Grove OR 97116-2553. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dudley, Theresa Ann can be contacted via phone (503) 803-0601.

Contact Information

Primary practice address
1904 Elm St Suite 5 Forest Grove OR 97116-2553
Phone: (503) 803-0601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3637 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 01-11-18 Oregon

Profile Details

NPI number 1861619264
LBN Legal business name Dudley, Theresa Ann
Credentials LCSW, CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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