Provider Demographics
NPI:1225464563
Name:MCCARTNEY, TERESA J (LPC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:J
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2516
Mailing Address - Country:US
Mailing Address - Phone:719-582-2656
Mailing Address - Fax:
Practice Address - Street 1:605 3RD ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2516
Practice Address - Country:US
Practice Address - Phone:719-582-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional