Provider Demographics
NPI:1831243021
Name:DENEAU, TERESA ANN (LCPC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:DENEAU
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 1:9426 STEWARTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-1601
Mailing Address - Country:US
Mailing Address - Phone:301-208-8900
Mailing Address - Fax:301-208-8369
Practice Address - Street 1:9426 STEWARTOWN RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-1601
Practice Address - Country:US
Practice Address - Phone:301-208-8900
Practice Address - Fax:301-208-8369
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1962101YP2500X
DCLC1292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional