Individual
MARK TESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4535 LEAVENWORTH ST STE 4, OMAHA, NE 68106-1453
(402) 558-3856
(402) 558-3039
Mailing address
1017 N 33RD ST, OMAHA, NE 68131-1450
(402) 558-3856
(402) 558-3039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6791
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025017000
—
NE
05
—
10025505300
—
NE
Enumeration date
06/28/2006
Last updated
04/14/2011
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