Individual
STEPHANIE KRISTEN TESLAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
546 76TH ST SW, BYRON CENTER, MI 49315-8307
(206) 705-3032
Mailing address
7220 SAGEROSE DR, HUDSONVILLE, MI 49426-8869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451021950
MI
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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