IndividualActive
Terry Jolly
NPI 1508068743 · Addiction (Substance Use Disorder) Counselor · Bend, OR
Provider details
- NPI number
- 1508068743
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
461 Ne Greenwood Ave
Bend, OR 97701
Phone: (541) 617-7365
Fax: (541) 312-6343
Approximate (ZIP-level) locationGet directions
Mailing address
1342 Ne 11th St
Bend, OR 97701-4408
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.