Individual
STACI TESSMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, NCC
Contact information
Practice address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
Mailing address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700019-SUPV
OH
Other
Enumeration date
07/17/2018
Last updated
10/09/2018
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