Provider Demographics
NPI:1518159581
Name:ZAHREN, TERESA R (LCSW)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:R
Last Name:ZAHREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:CERESCO
Mailing Address - State:NE
Mailing Address - Zip Code:68017-0532
Mailing Address - Country:US
Mailing Address - Phone:402-310-0085
Mailing Address - Fax:
Practice Address - Street 1:315 S 9TH ST STE 120
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2283
Practice Address - Country:US
Practice Address - Phone:402-310-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist