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NPI Code Detail

MEDICARE: TERESA DAVIS

MEDICARE: TERESA DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNM

General Provider Information

NPI Number : 1437000601
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA DAVIS
Provider Business Mailing Address
First Line : 2703 CALLE CEDRO
Second Line :
City : SANTA FE
State : NM
Zip : 87505-5235
Country : US
Telephone Number : 505-930-6275
Fax Number :
Provider Business Practice Location Address
First Line : 3952 SAN FELIPE RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-8073
Country : US
Telephone Number : 505-741-8575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ TERESA DAVIS ” Practice Location

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