Individual
ELIZABETH TERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1700508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891294112
—
OH
Enumeration date
02/02/2018
Last updated
06/11/2019
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