Provider Demographics
NPI:1346665411
Name:PATERSON, TERESA M (LPC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:PATERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:M
Other - Last Name:SCIARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12351 W 96TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4409
Mailing Address - Country:US
Mailing Address - Phone:913-257-3161
Mailing Address - Fax:888-965-8977
Practice Address - Street 1:12351 W 96TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4409
Practice Address - Country:US
Practice Address - Phone:913-257-3161
Practice Address - Fax:888-965-8977
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2606101YM0800X
KS2488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health