Doctor Name: | HEINRICH PETER TESCH VON CULTZ |
NPI Number: | 1033327135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LIPC LIMFT MAC LPC |
License Number: | 721 LPC |
Business Practice Address: | 1638 Norwich Street Brunswick, GA - 31520 |
Business Phone Number: | 9123427217 |
Business Fax Number: | 9123427216 |
Mailing Address: | 1638 Norwich Street, BRUNSWICK |
State: | GA |
Postal Code: | 31520 |
Phone Number: | 9123427217 |
Fax Number: | 9123427216 |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 721 LPC |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |