Ditchfield, Theresa Mai

Ditchfield, Theresa Mai is an sole proprietor health care provider with primary practice located at 717 N 21St St , Mattoon IL 61938-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ditchfield, Theresa Mai can be contacted via phone (910) 987-9296.

Contact Information

Primary practice address
717 N 21St St Mattoon IL 61938-2705
Phone: (910) 987-9296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005169 North Carolina

Profile Details

NPI number 1174572333
LBN Legal business name Ditchfield, Theresa Mai
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jan 12th, 2011 - about 15 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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