Doctor Name: | MRS. THERESA CATHERINE MORGAN |
NPI Number: | 1023155777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC-I, QMHA |
License Number: | 051188U |
Business Practice Address: | 5005 Wigrich Rd Independence, OR - 973519757 |
Business Phone Number: | 5035801220 |
Business Fax Number: | |
Mailing Address: | 5005 Wigrich Rd, INDEPENDENCE |
State: | OR |
Postal Code: | 973519757 |
Phone Number: | 5035801220 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 051188U |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |