Provider Demographics
NPI:1962650325
Name:SAVARD, TERESA MITCHELL (LCSW)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MITCHELL
Last Name:SAVARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 344
Mailing Address - Street 2:
Mailing Address - City:KENO
Mailing Address - State:OR
Mailing Address - Zip Code:97627
Mailing Address - Country:US
Mailing Address - Phone:541-850-8706
Mailing Address - Fax:541-850-8709
Practice Address - Street 1:11170 RIVER ST.
Practice Address - Street 2:
Practice Address - City:KENO
Practice Address - State:OR
Practice Address - Zip Code:97627
Practice Address - Country:US
Practice Address - Phone:541-850-8706
Practice Address - Fax:541-850-8709
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL42241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical