# MS. THERESA AILEEN SHUART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700844065
- **Gender:** F
- **Credential:** L.P.C, L.M.F.T, M.ED

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 07100387 | VA | Yes |
| 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