Individual provider · Type 1 NPI
Theresa M. Shaltanis, M.A., LPC, LMFT
Professional Counselor · Fairfax, VA
NPI number
1023170180
Active
Practice location
10379B Democracy Ln
Fairfax, VA 22030-2505
Fax (703) 591-2563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717000629 (VA) |
| Professional Counselor Primary | 101YP2500X | 0701002445 (VA) |
Professional Counselor: Definition to come...
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About NPI 1023170180
Theresa M. Shaltanis, M.A., LPC, LMFT's National Provider Identifier is 1023170180, issued on Dec 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jul 21, 2022.