Individual
RACHEL SULLIVAN TIESLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, RDN, LD, LPC
Contact information
Practice address
2327 PANSY ST SW, HUNTSVILLE, AL 35801-3804
(256) 224-1665
(833) 629-8753
Mailing address
1907 WILLIS RD SE, HUNTSVILLE, AL 35801-1651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05283
AL
133V00000X
Registered Dietitian
2683
AL
Other
Enumeration date
08/22/2018
Last updated
06/24/2024
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