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NPI Code Detail

MEDICARE: TERESA JANE BAY LPC

MEDICARE: TERESA JANE BAY LPC
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
1101YP2500XProfessional CounselorWI
2101YP2500XProfessional Counselor6802125WI

General Provider Information

NPI Number : 1194213389
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA JANE BAY LPC
Provider Business Mailing Address
First Line : 2901 W BELTLINE HWY STE 301
Second Line :
City : MADISON
State : WI
Zip : 53713-4228
Country : US
Telephone Number : 262-999-3495
Fax Number :
Provider Business Practice Location Address
First Line : 2901 W BELTLINE HWY STE 301
Second Line :
City : MADISON
State : WI
Zip : 53713-4228
Country : US
Telephone Number : 262-999-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2018
Last Update Date : 10/08/2024

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Directions to “ TERESA JANE BAY LPC” Practice Location

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