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NPI Code Detail

MEDICARE: TERESA ANN TROUSDALE

MEDICARE: TERESA ANN TROUSDALE
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 Counselor15170TX

General Provider Information

NPI Number : 1578380481
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ANN TROUSDALE
Provider Business Mailing Address
First Line : PO BOX 38
Second Line :
City : DAYTON
State : TX
Zip : 77535-0001
Country : US
Telephone Number : 936-402-4380
Fax Number :
Provider Business Practice Location Address
First Line : 104 W CLAYTON ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2241
Country : US
Telephone Number : 936-262-7800
Fax Number : 281-899-5295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2024
Last Update Date : 06/23/2025

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Directions to “ TERESA ANN TROUSDALE ” Practice Location

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