Individual provider · Type 1 NPI

Phernya Teague

Professional Counselor · Fort Pierce, FL

NPI number 1083963151 Active

Practice location

2814 S US Highway 1, Suite D-4
Fort Pierce, FL 34982-8120

Mailing address

3590 NW Treasure Coast Dr Apt 101
Jensen Beach, FL 34957-4480

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1083963151

Phernya Teague's National Provider Identifier is 1083963151, issued on Sep 5, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Pierce, FL. The record was last updated on Sep 5, 2012.