Provider Demographics
NPI:1902101306
Name:HARRISON-STRONG, TERESA (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:HARRISON-STRONG
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-3605
Mailing Address - Country:US
Mailing Address - Phone:757-391-2887
Mailing Address - Fax:757-391-2887
Practice Address - Street 1:507 COURT ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3605
Practice Address - Country:US
Practice Address - Phone:757-391-2887
Practice Address - Fax:757-391-2887
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004987101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor