Provider Demographics
NPI:1184744955
Name:PAPPAS, TERESA ANN (LMHC)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ANN
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:301 W BURLINGTON
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-3242
Mailing Address - Country:US
Mailing Address - Phone:808-494-9540
Mailing Address - Fax:808-885-0716
Practice Address - Street 1:301 W BURLINGTON
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-3242
Practice Address - Country:US
Practice Address - Phone:808-494-9540
Practice Address - Fax:808-885-0716
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI206101YM0800X
IA00970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health