Teresa S. Dement, LPCC, LICDC

NPI #1457890097 in Logan, Ohio

Provider Information

NPI Number: 1457890097
Entity Type: Individual
Name: Teresa S. Dement, LPCC, LICDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPCC, LICDC
Enumeration Date: Feb 15, 2017
Last Updated: Aug 12, 2019

Practice Location

Address: 1220 W HUNTER ST
City: Logan
State: Ohio
ZIP Code: 43138-1012
Phone: (740) 205-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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