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NPI Code Detail

MEDICARE: TERESA WHITE COUNSELING

MEDICARE: TERESA WHITE COUNSELING
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1356222848
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERESA WHITE COUNSELING
Provider Business Mailing Address
First Line : 316 SOUTH ST
Second Line :
City : GALENA
State : IL
Zip : 61036-2524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2728 ASBURY RD
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-2971
Country : US
Telephone Number : 815-291-1841
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : TERESA A WHITE
Credential :
Telephone Number : 815-291-1841
Provider Enumeration Date : 09/10/2025
Last Update Date : 02/05/2026

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