MRS. TERESA T. BOU-MATAR LPC
NPI 1023382827
Counselor - Professional in Grand Junction, CO
Active since February 27, 2012
About Mrs. Teresa T. Bou-matar Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TERESA T. BOU-MATAR LPC (NPI 1023382827) is an individual professional provider in Grand Junction, Colorado, licensed in Colorado (1621) and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1023382827
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TERESA T. BOU-MATARCredential: LPC
Location Address677 25 1/2 RDGrand Junction, CO 81505-6956
Mailing Address677 25 1/2 RoadGrand Junction, CO 81505 · (970) 260-7017
Phone(970) 260-7017
Sole ProprietorYes
Enumeration DateFebruary 27, 2012
✔ NPI 1023382827 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 1621
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 0401540 (CO)
677 25 1/2 RD, Grand Junction, CO 81505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023382827, enumerated as an "individual" on February 27, 2012.
The provider is located at 677 25 1/2 RD GRAND JUNCTION, CO 81505 and the phone number is (970) 260-7017.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
