| Mrs Dacota J Terry, | |
|
1 Frankie Street, Tonopah, NV 89049-1791 | |
| (775) 346-1686 | |
| Not Available |
| Full Name | Mrs Dacota J Terry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1 Frankie Street, Tonopah, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073051728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dacota J Terry, Po Box 1791, Tonopah, NV 89049-1791 Ph: (775) 346-1686 | Mrs Dacota J Terry, 1 Frankie Street, Tonopah, NV 89049-1791 Ph: (775) 346-1686 |
Rowena Holland, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: One Frankie Street, Tonopah, NV 89049 Phone: 775-482-9884 Fax: 775-482-9884 | |
Kathleen Bernache, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Frankie St, Tonopah, NV 89049 Phone: 775-482-9884 |