Doctor Name: | MRS. TERESA ANN YSAGUIRRE |
NPI Number: | 1174682348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH |
License Number: | PC-0000338 |
Business Practice Address: | 12649 N. Dupont Blvd. Ellendale, DE - 19941 |
Business Phone Number: | 3024221530 |
Business Fax Number: | 3024222320 |
Mailing Address: | 209 East Street, MILFORD |
State: | DE |
Postal Code: | 19963 |
Phone Number: | 3022652151 |
Fax Number: | 3024222320 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC-0000338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |