Provider Demographics
NPI:1851312953
Name:WORSHAM, TESSA POSTERLI (LCPC)
Entity Type:Individual
Prefix:MS
First Name:TESSA
Middle Name:POSTERLI
Last Name:WORSHAM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 VISTA CT
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21028-1201
Mailing Address - Country:US
Mailing Address - Phone:410-989-0345
Mailing Address - Fax:
Practice Address - Street 1:7702 DUNMANWAY
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-5436
Practice Address - Country:US
Practice Address - Phone:410-282-1792
Practice Address - Fax:410-282-3195
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCO108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional