D'Aversa, Teresa
D'Aversa, Teresa is an sole proprietor health care provider with primary practice located at 1005 W Laraway Rd Ste 230 , New Lenox IL 60451-4117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. D'Aversa, Teresa can be contacted via phone (815) 570-9303.Contact Information
Primary practice address
1005 W Laraway Rd Ste 230
New Lenox IL 60451-4117
Phone: (815) 570-9303
Fax: (866) 950-9427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 150.104594 | Illinois |
Profile Details
| NPI number | 1114533890 |
|---|---|
| LBN Legal business name | D'Aversa, Teresa |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Feb 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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