Individual
TESA LE ANNE TAPURIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAC, CSAC, ICADC
Contact information
Practice address
1090 RIVER ROCK CT APT 5, KIEL, WI 53042-2008
(863) 800-2018
Mailing address
1090 RIVER ROCK CT APT 5, KIEL, WI 53042-2008
(863) 800-2018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3017-21
HI
175T00000X
Peer Specialist
—
HI
376K00000X
Nurse's Aide
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3017-21
STATE OF HAWAII ALCOHOL AND DRUG ABUSE DIVISION
HI
Enumeration date
07/08/2019
Last updated
04/04/2022
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