person
Mary Irene Telisak, LPC
Professional Counselor in Eau Claire, Wisconsin
NPI 1205069499

Mary Irene Telisak is a Professional Counselor based in Eau Claire, WI and is specialized in Professional. Mary Irene Telisak practices in Eau Claire, WI and has the professional credentials of LPC. The NPI Number for Mary Irene Telisak is 1205069499 and holds a License No. 076646 (Wisconsin).

The current practice location address for Mary Irene Telisak is 4330 Golf Ter Ste 214, Eau Claire, WI and can be reached out via phone at 715-255-0664 and via fax at 715-598-6072. You can also correspond with Mary Irene Telisak through the mailing address at 4330 GOLF TER STE 214, EAU CLAIRE, WI - 54701-4688 (mailing address contact number: 715-255-0664).

Location: 4330 Golf Ter Ste 214, Eau Claire, WI, 54701-4688
person
Provider Profile Details
NPI Number
1205069499
Provider Name
Mary Irene Telisak
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4330 Golf Ter Ste 214, Eau Claire, WI, 54701-4688
Phone Number
715-255-0664
Fax Number
715-598-6072
Provider Enumeration Date
09/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4330 Golf Ter Ste 214
City
State
Zip
54701-4688
Phone Number
715-255-0664
Fax Number
715-598-6072
person
Provider Business Mailing Address Details
Address
4330 Golf Ter Ste 214
City
State
Zip
54701-4688
Phone Number
715-255-0664
Fax Number
715-598-6072
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8076-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
076646 (Iowa)
Definition
Definition to come...
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