Individual
TESHIA HACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9409 BIRCH CLIFF DR, FREDERICKSBURG, VA 22407-9223
(540) 429-2439
Mailing address
PO BOX 334, FREDERICKSBURG, VA 22404-0334
(703) 662-4852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009426
VA
101YM0800X
Mental Health Counselor
8745
NC
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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