MISS TERESA MCCLENDON (NPI# 1336291897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336291897 |
| Entity Type | Individual |
| Full Name | MISS TERESA MCCLENDON |
| Practice Address |
955 W Center St Ste 12 Manteca CA 95337-7300 |
| Practice Telephone | 2092399600 |
| Practice Fax Number | 2096474685 |
| Mailing Telephone | 2092399600 |
| Mailing Fax Number | 2096474685 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02-060067 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407003676 | Teresa Marie Mcclendon | Licensed Practical Nurse | 1748 Richmond Ave, Youngstown, OH 44505-4725 | 2008-08-19 |
| Street Address |
955 W CENTER ST STE 12 |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013512 | Naveed Ahmed | Counselor | 955 W Center St Ste 12aand14, Manteca, CA 95337-7300 | 2018-02-20 |
| 1700307345 | Elanda Shelton | Counselor | 955 W Center St Ste 12a&14, Manteca, CA 95337-7300 | 2017-07-05 |
| 1528424470 | Shirley Thompson | Counselor | 955 W Center St Ste 12a&12b, Manteca, CA 95337-7300 | 2016-01-07 |
| 1497054597 | Armando R Aguilar II | Counselor | 1789 W Yosemite Ave Bldg 1, Manteca, CA 95337-5130 | 2011-03-15 |
| 1063616910 | William Louis Svoboda | Counselor | 1774 Tasca Pl, Manteca, CA 95337-8784 | 2007-06-13 |
| 1942425400 | Tonya Marie Bagley | Counselor | 955 W Center St Ste 12a, Manteca, CA 95337-7327 | 2007-04-17 |
| 1164549002 | Ruben Edward Alvarez | Counselor | 1155 Tannehill Dr, Manteca, CA 95337-7944 | 2007-03-24 |
| 1710443528 | Jessica Neel | Counselor | 955 W Center St Ste 12a&14, Manteca, CA 95337-7300 | 2019-02-17 |
| 1376013425 | Cristina Serhan | Counselor | 955 W Center St Ste 12a&12b, Manteca, CA 95337-7300 | 2018-12-03 |
| 1649765975 | Shivvani Sharma | Counselor | 955 W Center St Ste 12aand14, Manteca, CA 95337-7300 | 2018-06-28 |
| Find all providers in MANTECA | ||||
Please comment or provide details below to improve the information on MISS TERESA MCCLENDON.
| 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.