Individual
MR. CONNOR ANDREW TIGGERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
131 WASHINGTON AVE, PORT EDWARDS, WI 54469-1313
(715) 572-6017
Mailing address
PO BOX 1522, WISCONSIN RAPIDS, WI 54495-1522
(715) 572-6017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1516-226
WI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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