NPI 1003059296

Therese N Mastin, MAQMHP

Practitioner Professional Counselor Cottage Grove, OR

Practice location

Address: 1345 Birch Ave, Cottage Grove, OR 97424-1416
Phone: (541) 942-3939
Fax: (541) 942-9310
Mailing address: 410 N 9th St PO Box 5, Cottage Grove, OR 97424-1307

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence C8458 (OR)

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Registry record

NPI: 1003059296
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2009
Record last updated: 10 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.