Provider Demographics
NPI:1942189493
Name:MIRAMONTES, TERESA CLAIRE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:CLAIRE
Last Name:MIRAMONTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:CLAIRE
Other - Last Name:GREENHUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1419 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-1923
Mailing Address - Country:US
Mailing Address - Phone:909-260-6487
Mailing Address - Fax:
Practice Address - Street 1:1319 CORNWALL AVE STE 200
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4733
Practice Address - Country:US
Practice Address - Phone:360-300-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health