Individual provider · Type 1 NPI
Brianda I. Teterukov, LPC
Professional Counselor · Phoenix, AZ
NPI number
1245901644
Active
Practice location
21436 N 20th Ave
Phoenix, AZ 85027-2612
Mailing address
21681 N 61st Ave
Glendale, AZ 85308-6316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-20112 (AZ) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1245901644
Brianda I. Teterukov, LPC's National Provider Identifier is 1245901644, issued on Sep 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 24, 2021.