Healthcare Provider Details

I. General information

NPI: 1730855222
Provider Name (Legal Business Name): CINDY LYNN TESCH LMHC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 JEFFERSON AVE
ENDICOTT NY
13760-5244
US

IV. Provider business mailing address

217 JEFFERSON AVE
ENDICOTT NY
13760-5244
US

V. Phone/Fax

Practice location:
  • Phone: 607-476-6181
  • Fax:
Mailing address:
  • Phone: 607-476-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number012645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: