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Individual

DR. TERESA BUCHANAN ANCELLOTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LMFT, LPC

Contact information

Practice address
1769 JAMESTOWN RD., STE. 102 JAMESTOWNE PROFESSIONAL PARK, WILLIAMSBURG, VA 23185
(757) 608-8659
(757) 932-6020
Mailing address
1769 JAMESTOWN RD., STE. 102 JAMESTOWNE PROFESSIONAL PARK, WILLIAMSBURG, VA 23185
(757) 608-8659
(757) 932-6020

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002331
VA
101YP2500X
Professional Counselor
0701092331
VA
103TS0200X
School Psychologist
106H00000X
Marriage & Family Therapist
Primary
0717000232
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070916
VALUE OPTIONS
VA
01
081408
OPTIMA
VA
01
100050909
APS HEALTHCARE
VA
01
245771
ANTHEM
VA
01
455651000
MAGELLAN
VA
01
52891
CIGNA
VA
05
5414105
VA
Enumeration date
09/17/2006
Last updated
02/12/2019
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