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Individual
MS. TERESA INZERRA
Active
Individual
MS. TERESA INZERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000398
CT
101YM0800X
Mental Health Counselor
Primary
002209
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043555
—
CT
Enumeration date
09/15/2009
Last updated
04/19/2013
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