Provider Demographics
NPI:1669125316
Name:GREGORY, TERESA ANN (LPC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:GREGORY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 E NORTHWEST HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-1700
Mailing Address - Country:US
Mailing Address - Phone:847-908-8700
Mailing Address - Fax:847-907-9780
Practice Address - Street 1:1 E NORTHWEST HWY STE 201
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-1700
Practice Address - Country:US
Practice Address - Phone:847-908-8700
Practice Address - Fax:847-907-9780
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional