Individual
MISS TERESA LYNN MCCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/LSW
Contact information
Practice address
1513 HARRISON AVE STE A12, ELKINS, WV 26241-3356
(304) 553-7063
Mailing address
111 W PHILADELPHIA AVE, BRIDGEPORT, WV 26330-1561
(304) 841-8389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AP00944777
WV
104100000X
Social Worker
Primary
AP00944777
WV
Other
Enumeration date
05/27/2021
Last updated
04/15/2026
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