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Individual

DR. TERESA S. PAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
500 BLAND ST, BLUEFIELD, WV 24701-3030
(304) 324-0999
(304) 324-0996
Mailing address
PO BOX 904, BLUEFIELD, WV 24701-0904
(304) 324-0999
(304) 324-0996

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001102
VA
101YP2500X
Professional Counselor
Primary
251
WV
106H00000X
Marriage & Family Therapist
0717000903
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001715135
MOUNTAIN STATE BLUE CROSS
WV
05
00540435-5
VA
01
027550
ANTHEM BLUE CROSS BLUE SH
VA
01
1039015
WV WORKERS' COMP
WV
01
117043
VALUE OPTIONS
01
255172
MAGELLAN EAP
01
379407
MAMSI
01
4639860
AETNA BEHAVIORAL HEALTH
Enumeration date
10/18/2006
Last updated
10/09/2024
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