| Doctor Name: | MS. DARLENE HOLLAND TERRY |
| NPI Number: | 1902995046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 05101188C |
| Business Practice Address: | 5 Garcia Lane La Luz, NM - 88337 |
| Business Phone Number: | 5754157636 |
| Business Fax Number: | 5754896799 |
| Mailing Address: | P.o. Box 737, 5 Garcia Lane LA LUZ |
| State: | NM |
| Postal Code: | 88337 |
| Phone Number: | 5754157636 |
| Fax Number: | 5754896799 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 05101188C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |