Individual
TERESA L SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC; LPC-MH
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC20805
SD
101YP2500X
Professional Counselor
LPCMH30928
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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