person
Mrs. Theresa Marie Beach, LCSWR
Mental Health Counselor in Canandaigua, New York
NPI 1073562542

Theresa Marie Beach is a Mental Health Counselor based in Canandaigua, NY and is specialized in Mental Health. Theresa Marie Beach practices in Canandaigua, NY and has the professional credentials of LCSWR. The NPI Number for Theresa Marie Beach is 1073562542 and holds a License No. R044998 (New York).

The current practice location address for Theresa Marie Beach is 527 N Main St, Canandaigua, NY and can be reached out via phone at 585-394-1294 and via fax at 585-394-1294.

Location: 527 N Main St, Canandaigua, NY, 14424-1021
person
Provider Profile Details
NPI Number
1073562542
Provider Name
Theresa Marie Beach
Credential
LCSWR
Provider Entity Type
Individual
Gender
Female
Address
527 N Main St, Canandaigua, NY, 14424-1021
Phone Number
585-394-1294
Fax Number
585-394-1294
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
338407 01 NY MVP VALUE OPTIONS
P010044998 01 NY BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
527 N Main St
City
State
Zip
14424-1021
Phone Number
585-394-1294
Fax Number
585-394-1294
person
Provider Business Mailing Address Details
Address
527 N Main St
City
State
Zip
14424-1021
Phone Number
585-394-1294
Fax Number
585-394-1294
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R044998 (New York)
Definition
Definition to come...
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