Provider Demographics
NPI:1841406550
Name:TEAGUE, ANNE PATTERSON (LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:PATTERSON
Last Name:TEAGUE
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 1:839 WILKESBORO BLVD NE
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-4612
Mailing Address - Country:US
Mailing Address - Phone:828-759-4083
Mailing Address - Fax:828-759-0159
Practice Address - Street 1:397 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-4180
Practice Address - Country:US
Practice Address - Phone:828-632-7005
Practice Address - Fax:828-632-0435
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional