Individual
TEONNA MARIE WILBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1465 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 649-1758
(219) 525-4337
Mailing address
4239 AUGUSTA DR, CROWN POINT, IN 46307-8962
(219) 713-4138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
39002463A
IN
101YP2500X
Professional Counselor
6401010554
MI
Other
Enumeration date
09/01/2011
Last updated
02/22/2018
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