MEDICARE: ALLISON TEDESCO TISCHIO

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
1	101YM0800X	Mental Health Counselor	A21669	NC

General Provider Information

NPI Number	:	1528918885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON TEDESCO TISCHIO

Provider Business Mailing Address
First Line	:	5124 CRAFTSMAN RIDGE DR
Second Line	:
City	:	STALLINGS
State	:	NC
Zip	:	28104-6759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5124 CRAFTSMAN RIDGE DR
Second Line	:
City	:	STALLINGS
State	:	NC
Zip	:	28104-6759
Country	:	US
Telephone Number	:	862-432-1583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ ALLISON TEDESCO TISCHIO ” Practice Location

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