Individual
MR. THEODORE C TESSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LADC
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
935 SHERREN ST W, SAINT PAUL, MN 55113-4408
(651) 324-9364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303150
MN
106H00000X
Marriage & Family Therapist
Primary
1925
MN
Other
Enumeration date
04/14/2009
Last updated
05/20/2015
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