Individual
JAMES C TEEGARDEN
Active
Individual
JAMES C TEEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MLP,CAADC
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301014303
MI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301014303
MI
Other
Enumeration date
11/10/2009
Last updated
03/07/2013
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