Provider Demographics
NPI:1528250289
Name:DURAN, TERESA (MA, MFT)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:DURAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:2221 ENBORG LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2608
Mailing Address - Country:US
Mailing Address - Phone:408-885-7855
Mailing Address - Fax:408-885-7854
Practice Address - Street 1:2221 ENBORG LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2608
Practice Address - Country:US
Practice Address - Phone:408-885-7855
Practice Address - Fax:408-885-7854
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CAMFC41983106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist