MARY IRENE TELISAK LPC NPI 1205069499

NPI Information

NPI: 1205069499
Provider Name: MARY IRENE TELISAK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4330 GOLF TER STE 214
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 255-0664
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Mary Irene Telisak, LPC is a professional counselor in Eau Claire, WI. Mary Irene Telisak, LPC NPI is 1205069499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4330 GOLF TER STE 214
EAU CLAIRE, WI
ZIP 54701-688
Phone: (715) 255-0664
Fax: (715) 598-6072

The enumeration date for this NPI number is 9/3/2009 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	076646	IOWA	No
2	101YP2500X	Counselor	Professional	8076-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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