George, Teresa Ann

George, Teresa Ann is an individual health care provider with primary practice located at 2501 Hunter Pl Ste 202 , Woodbridge VA 22192-3940. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. George, Teresa Ann can be contacted via phone (571) 365-3172.

Contact Information

Primary practice address
2501 Hunter Pl Ste 202 Woodbridge VA 22192-3940
Phone: (571) 365-3172
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1385 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 836 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701007985 Virginia

Profile Details

NPI number 1043231913
LBN Legal business name George, Teresa Ann
Credentials MA,LPC,NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043231913 NPPES
West Virginia MEDICAID 9202128000

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