Individual
MS. THERESA AILEEN SHUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C, L.M.F.T, M.ED
Contact information
Practice address
216 SCENIC LN, RICH CREEK, VA 24147-9673
(703) 677-7545
Mailing address
216 SCENIC LN, RICH CREEK, VA 24147-9673
(703) 677-7545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
24115
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
24115
—
101YP2500X
Professional Counselor
0701001796
VA
101YP2500X
Professional Counselor
LC6203
MD
106H00000X
Marriage & Family Therapist
Primary
07100387
VA
106H00000X
Marriage & Family Therapist
110400
IA
106H00000X
Marriage & Family Therapist
LCM540
MD
106H00000X
Marriage & Family Therapist
T2220
OR
Other
Enumeration date
05/03/2006
Last updated
03/08/2023
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