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Individual
MS. THERESA AILEEN SHUART
Active
Individual
MS. THERESA AILEEN SHUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C, L.M.F.T, M.ED
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
24115
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
24115
NULL
101YP2500X
Professional Counselor
0701001796
VA
101YP2500X
Professional Counselor
LC6203
MD
106H00000X
Marriage & Family Therapist
Primary
07100387
VA
106H00000X
Marriage & Family Therapist
110400
IA
106H00000X
Marriage & Family Therapist
LCM540
MD
106H00000X
Marriage & Family Therapist
T2220
OR
Other
Enumeration date
05/03/2006
Last updated
03/08/2023
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