| Doctor Name: | TERESA CANEZ |
| NPI Number: | 1356505093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC12987 |
| Business Practice Address: | 32 Boulevard Del Rey David Nogales, AZ - 856219667 |
| Business Phone Number: | 5202874713 |
| Business Fax Number: | 5202879794 |
| Mailing Address: | 32 Boulevard Del Rey David, NOGALES |
| State: | AZ |
| Postal Code: | 856219667 |
| Phone Number: | 5202874713 |
| Fax Number: | 5202879794 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 07/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC12987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |