NPI 1346379591

Georgia T Tiessen, MSW

Practitioner Addiction (Substance Use Disorder) Counselor Apo, AE

Practice location

Address: Cmr411, Box 3475, Apo, AE 09112
Phone: (314) 476-2079
Mailing address: Cmr 411, Box 3475, Apo, AE 09112

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 938 (LA)

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Registry record

NPI: 1346379591
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2007
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.