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NPI Code Detail

MEDICARE: TESS MEUSSLING

MEDICARE:   TESS  MEUSSLING
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 Counselor

General Provider Information

NPI Number : 1295103711
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESS MEUSSLING
Provider Business Mailing Address
First Line : 3894 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3894 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-373-0880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 09/15/2015

Similar Medicare Providers

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Directions to “ TESS MEUSSLING ” Practice Location

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