Provider / Organization | NPI | Date Certified |
---|---|---|
CHARLENE MARIE TERRY | 1811447683 | 2024-01-06 |
Charlene Marie Terry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811447683. Registration indicates Charlene Marie Terry is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Charlene Marie Terry LCSW, MSW |
Practice Office Address | 39252 WINCHESTER RD STE 107-491 MURRIETA, CA US |
Practice Office Telephone | 9515871496 |
Mailing Address | 39252 WINCHESTER RD STE 107 491 MURRIETA, CA 925633509 US |
Business Telephone | 9515871496 |
Address | City / State | Phone / Fax |
---|---|---|
2085 Rustin Ave Ste 1 | Riverside, CA 925072498 | 9519557320 |
Code | Practice | License No State |
---|---|---|
104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 70366
CA |
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 94344
CA |