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Individual
TERESA ANN CHILTON
Active
Individual
TERESA ANN CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-R-47
OR
101YM0800X
Mental Health Counselor
Primary
21-QMHA-R-1840
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500741806
—
OR
05
—
500802956
—
OR
Enumeration date
02/20/2018
Last updated
05/10/2022
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