Individual
MRS. CHRISTINA ANN TISHER
Active
Individual
MRS. CHRISTINA ANN TISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-005846
IL
101YP2500X
Professional Counselor
Primary
2000173235
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600001329
MAGELLAN
IL
Enumeration date
08/08/2006
Last updated
07/23/2021
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