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NPI Code Detail

MEDICARE: TESHAUNA LYNN ISAAC

MEDICARE:   TESHAUNA LYNN ISAAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.2606045OH

General Provider Information

NPI Number : 1952974560
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESHAUNA LYNN ISAAC
Provider Business Mailing Address
First Line : 1125 N HOLLAND SYLVANIA RD APT L8
Second Line :
City : TOLEDO
State : OH
Zip : 43615-4469
Country : US
Telephone Number : 419-944-5469
Fax Number :
Provider Business Practice Location Address
First Line : 2475 COLLINGWOOD BLVD STE 110
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1180
Country : US
Telephone Number : 419-944-5469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 01/06/2026

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Directions to “ TESHAUNA LYNN ISAAC ” Practice Location

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