Individual
TESSA STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCMHC, CPC, I
Contact information
Practice address
415 US HIGHWAY 95A S, FERNLEY, NV 89408-9261
(775) 575-2144
Mailing address
966 MARK AVE, FALLON, NV 89406-3815
(717) 439-6327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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