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NPI Code Detail

MEDICARE: TERESA L EVEN LMHC

MEDICARE:   TERESA L EVEN  LMHC
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
1101Y00000XCounselorMH6524FL

Other Identifiers

General Provider Information

NPI Number : 1023073814
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA L EVEN LMHC
Provider Business Mailing Address
First Line : 1201 1ST ST S
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3904
Country : US
Telephone Number : 863-294-7062
Fax Number :
Provider Business Practice Location Address
First Line : 1201 1ST ST S
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3904
Country : US
Telephone Number : 863-294-7062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 09/01/2022

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Directions to “ TERESA L EVEN LMHC” Practice Location

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