Individual
JOHN PAUL TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
(920) 433-6738
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1047
WI
101YP2500X
Professional Counselor
Primary
1047-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39779700
—
WI
Enumeration date
12/09/2005
Last updated
02/10/2021
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