Individual
MRS. COLLEEN JESKE TETSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCSWA
Contact information
Practice address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9920
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3107
NC
1041C0700X
Clinical Social Worker
Primary
P007411
NC
Other
Enumeration date
12/27/2013
Last updated
06/11/2014
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