MRS. TERESA T. BOU-MATAR


Address: 677 25 1/2 Rd, Grand Junction, CO 81505-6956
Phone: 9702607017

MRS. TERESA T. BOU-MATAR (NPI# 1023382827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023382827
Entity Type Individual
Full Name MRS. TERESA T. BOU-MATAR
Credential LPC
Practice Address 677 25 1/2 Rd
Grand Junction
CO 81505-6956
Mailing Address 677 25 1/2 Road
Grand Junction
CO 81505
Practice Telephone 9702607017
Mailing Telephone 9702607017
Enumeration Date 2012-02-27
Last Update Date 2012-02-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1621 CO Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
0401540 CO Behavioral Health & Social Service Providers

Office Location

Street Address 677 25 1/2 RD
City GRAND JUNCTION
State CO
Zip Code 81505-6956

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND JUNCTION
Zip Code 81505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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