Theresa Marie Shedleski, LCPC | |
2700 Washington Ave, Halethorpe, MD 21227-3115 | |
(667) 600-3984 | |
(667) 600-4065 |
Full Name | Theresa Marie Shedleski |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2700 Washington Ave, Halethorpe, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467920199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC6544 (Maryland) | Primary |
Entity Name | Associated Catholic Charities Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073639159 PECOS PAC ID: 8527101351 Enrollment ID: O20170703001268 |
Mailing Address | Practice Location Address |
---|---|
Theresa Marie Shedleski, LCPC 2700 Washington Ave, Halethorpe, MD 21227-3115 Ph: (667) 600-3984 | Theresa Marie Shedleski, LCPC 2700 Washington Ave, Halethorpe, MD 21227-3115 Ph: (667) 600-3984 |
Crystal Sharrell Dorsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-3900 | |
Nikolay N Sergeevykh, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Francis Ave, Halethorpe, MD 21227 Phone: 443-869-6512 | |
Matthew Beckwith, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1813 Main St, Halethorpe, MD 21227 Phone: 315-289-7545 | |
Mr. Michael Towers, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3203 Hilltop Ave, Halethorpe, MD 21227 Phone: 443-540-5109 | |
Ms. Elizabeth Venenga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-2272 Fax: 667-600-4065 | |
Emnet T Kflu, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Francis Avenue, Halethorpe, MD 21227 Phone: 443-869-6512 |