Most Relevant Information
Provider Data
| NPI Number: | 1003482142 |
| Provider Name: | TERESA MARIA MCINERNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2021 |
| Last Updated: | 05/30/2021 |
Provider Practice Location
380 ENCINAL ST STE 200
SANTA CRUZ
CA
950602178
Practice Location Phone/Fax
| Phone: | 8314251905 |
| Fax: |
Provider Mailing Location
380 ENCINAL ST STE 200
SANTA CRUZ
CA
950602178
Provider Mailing Phone/Fax
| Phone: | 8314251905 |
| Fax: |