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NPI Code Detail

MEDICARE: TESSA ISOM LPC

MEDICARE: TESSA ISOM LPC
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 CounselorC2103501OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528601010
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA ISOM LPC
Provider Business Mailing Address
First Line : 380 S PORTAGE PATH
Second Line :
City : AKRON
State : OH
Zip : 44320-2326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 380 S PORTAGE PATH
Second Line :
City : AKRON
State : OH
Zip : 44320-2326
Country : US
Telephone Number : 330-455-0374
Fax Number : 330-453-6716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2019
Last Update Date : 01/05/2026

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Directions to “ TESSA ISOM LPC” Practice Location

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