Individual
MRS. THERESA M GENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
116 LOW COUNTRY LOOP, MURRELLS INLET, SC 29576-7050
(412) 916-1957
(843) 650-0647
Mailing address
116 LOW COUNTRY LOOP, MURRELLS INLET, SC 29576-7050
(412) 916-1957
(843) 650-0647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7933
SC
101YP2500X
Professional Counselor
Primary
CO161724L
PA
101YP2500X
Professional Counselor
PC006724
PA
Other
Enumeration date
01/09/2013
Last updated
04/12/2022
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