Individual
TERESA ANN BOSHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
18718 MIDDLETOWN RD, PARKTON, MD 21120-9088
(443) 889-9586
Mailing address
18718 MIDDLETOWN RD, PARKTON, MD 21120-9088
(443) 889-9586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99103120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881848448
SCC NPI
IN
05
—
200929150A
—
IN
01
—
26-3532969
SCC TAX ID
IN
01
—
261QM0801X
SCC TAXONOMY
IN
Enumeration date
07/14/2021
Last updated
07/27/2021
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