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Individual

MICHELLE TESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
1045 STOUGHTON AVE, CHASKA, MN 55318-2149
(952) 448-6557
(952) 448-6047
Mailing address
1045 STOUGHTON AVE, CHASKA, MN 55318-2149
(952) 448-6557
(952) 448-6047

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1909
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
303627
MN

Other

Enumeration date
08/27/2018
Last updated
08/27/2018
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