Individual
TERESA ANN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1924 QUAPAW ST APT B, SANTA FE, NM 87505-3587
(505) 465-8333
Mailing address
1924 QUAPAW ST APT A, SANTA FE, NM 87505-3587
(505) 231-6523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0195991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53031768
—
NM
Enumeration date
07/26/2005
Last updated
09/18/2018
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