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Individual
DR. TERESA S. PAINE
Active
Individual
DR. TERESA S. PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001102
VA
101YP2500X
Professional Counselor
Primary
251
WV
106H00000X
Marriage & Family Therapist
0717000903
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001715135
MOUNTAIN STATE BLUE CROSS
WV
05
—
00540435-5
—
VA
01
—
027550
ANTHEM BLUE CROSS BLUE SH
VA
01
—
1039015
WV WORKERS' COMP
WV
01
—
117043
VALUE OPTIONS
—
01
—
255172
MAGELLAN EAP
—
01
—
379407
MAMSI
—
01
—
4639860
AETNA BEHAVIORAL HEALTH
—
Enumeration date
10/18/2006
Last updated
10/09/2024
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