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Individual
TERESA ELLEN LAVONNE HODGES
Active
Individual
TERESA ELLEN LAVONNE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SE-203699
ID
101YM0800X
Mental Health Counselor
Primary
MHC.LH.61452973
WA
101YP2500X
Professional Counselor
MHC.LH.61452973
WA
101YP2500X
Professional Counselor
—
ID
Other
Enumeration date
01/10/2023
Last updated
07/22/2024
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