Provider Demographics
NPI:1194121749
Name:REAMER, TERESE ANN (LCPC)
Entity type:Individual
Prefix:
First Name:TERESE
Middle Name:ANN
Last Name:REAMER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1823
Mailing Address - Country:US
Mailing Address - Phone:443-416-6962
Mailing Address - Fax:
Practice Address - Street 1:414 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1823
Practice Address - Country:US
Practice Address - Phone:443-492-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional