TERRY JOLLY

BEND, OR
NPI1508068743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
-- TERRY JOLLY
461 NE GREENWOOD AVE
BEND, OR 97701
Phone number: 541-617-7365
Mailing Address
-- TERRY JOLLY
1342 NE 11TH ST
BEND, OR 97701-4408
Phone number: 541-617-7365