Individual provider · Type 1 NPI

Teresa Kelly Durrant

Mental Health Counselor · Fairfax, CA

NPI number 1073781563 Active

Practice location

35 Azalea Ave
Fairfax, CA 94930-1527

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1073781563

Teresa Kelly Durrant's National Provider Identifier is 1073781563, issued on Feb 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, CA. The record was last updated on Feb 19, 2008.