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Individual
MS. TERESA A. KEY-PICIUCCO
Active
Individual
MS. TERESA A. KEY-PICIUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PYSCH ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
1291
WV
103TC0700X
Clinical Psychologist
821
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005456001
—
WV
01
—
001719061
MSBCBS SERVICE ID
WV
01
—
2171255
CIGNA ID NUMBER
WV
01
—
588982000
MAGELLAN MIS NUMBER
WV
01
—
Y01291
HEALTH PLAN ID
WV
Enumeration date
12/11/2006
Last updated
04/29/2025
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