Gold, Tera Hadassah
Gold, Tera Hadassah is an sole proprietor health care provider with primary practice located at 4274 Commercial St , Astoria OR 97103-2338. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gold, Tera Hadassah can be contacted via phone (503) 396-3230.Contact Information
Primary practice address
4274 Commercial St
Astoria OR 97103-2338
Phone: (503) 396-3230
Fax: (503) 468-0136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C5529 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C5529 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C5529 | Oregon |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | C5529 | Oregon |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | C5529 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C5529 | Oregon |
Profile Details
| NPI number | 1215533997 |
|---|---|
| LBN Legal business name | Gold, Tera Hadassah |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2020 |
| Last updated | Oct 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215533997 | NPPES |
| Washington | MEDICAID | 2174730 | |
| Washington | MEDICAID | 500788856 |
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