Provider Demographics
NPI:1790807154
Name:MERKEL, TERESA JANE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JANE
Last Name:MERKEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:JANE
Other - Last Name:MERKEL SING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:2809 YORK RD STOP 2
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0218
Mailing Address - Country:US
Mailing Address - Phone:406-439-9071
Mailing Address - Fax:
Practice Address - Street 1:25 S EWING ST
Practice Address - Street 2:SUITE 415
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5938
Practice Address - Country:US
Practice Address - Phone:406-439-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health