Provider Demographics
NPI:1285903930
Name:CELESTE, TERESA MALONE (LMHC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:MALONE
Last Name:CELESTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2817
Mailing Address - Country:US
Mailing Address - Phone:508-292-2013
Mailing Address - Fax:
Practice Address - Street 1:32 CLARK AVE
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2817
Practice Address - Country:US
Practice Address - Phone:508-292-2013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor