person
Mrs. Tisha Micko
Professional Counselor in Belleville, Illinois
NPI 1972380103

Tisha Micko is a Professional Counselor based in Belleville, IL and is specialized in Professional. Tisha Micko practices in Belleville, IL. The NPI Number for Tisha Micko is 1972380103 and holds a License No. (Illinois).

The current practice location address for Tisha Micko is 624 Oak Hill Dr, Belleville, IL and can be reached out via phone at 314-532-5202.

Location: 624 Oak Hill Dr, Belleville, IL, 62223-2247
person
Provider Profile Details
NPI Number
1972380103
Provider Name
Tisha Micko
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Oak Hill Dr, Belleville, IL, 62223-2247
Phone Number
314-532-5202
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
624 Oak Hill Dr
City
State
Zip
62223-2247
Phone Number
314-532-5202
Fax Number
person
Provider Business Mailing Address Details
Address
624 Oak Hill Dr
City
State
Zip
62223-2247
Phone Number
314-532-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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