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Individual
TERESA ANN BERTONCIN
Active
Individual
TERESA ANN BERTONCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0138711
NM
106H00000X
Marriage & Family Therapist
Primary
120966
CA
106H00000X
Marriage & Family Therapist
484
HI
106H00000X
Marriage & Family Therapist
T-0136651
NM
Other
Enumeration date
10/07/2008
Last updated
03/27/2023
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