# DR. TERESA S. PAINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669553319
- **Gender:** F
- **Credential:** PH. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 0701001102 | VA | — |
| 101YP2500X | Professional Counselor | 251 | WV | Yes |
| 106H00000X | Marriage & Family Therapist | 0717000903 | VA | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 10/09/2024