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General NPI Number Information
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NPI Number | 1003708041
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Entity Type | Organization
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Legal Business Name | DR TERI MENTAL HEALTH THERAPY, LCSW
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 100 E SAN MARCOS BLVD STE 400
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City | SAN MARCOS
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State | CA
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Zip | 92069-2988
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Country | US
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Telephone | 760-891-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E SAN MARCOS BLVD STE 400
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City | SAN MARCOS
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State | CA
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Zip | 92069-2988
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Country | US
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Telephone | 760-891-2333
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. TERI CECILIA DAVIS
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Credential | ED.D., LCSW
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Telephone | 760-891-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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