Individual
MRS. TERESA DELORIS WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHT, MS,
Contact information
Practice address
14573 W OREGON AVE, LITCHFIELD PARK, AZ 85340-2818
(609) 752-5977
Mailing address
14573 W OREGON AVE, LITCHFIELD PARK, AZ 85340-2818
(609) 752-5677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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