Provider Demographics
NPI:1144939315
Name:HUGHES, TERESA (LMHCA)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 891
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0032
Mailing Address - Country:US
Mailing Address - Phone:360-797-9480
Mailing Address - Fax:
Practice Address - Street 1:2023 NW MULLRIDGE PL UNIT T201
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-7574
Practice Address - Country:US
Practice Address - Phone:360-797-9480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61312328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health