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Individual
MRS. TERESA M LINEBACK
Active
Individual
MRS. TERESA M LINEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26
LEAP
NY
01
—
608
LPC
NC
Enumeration date
06/12/2006
Last updated
07/13/2026
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