MEDICARE: MARY TESCH LPCC

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	101YP2500X	Professional Counselor	E.2505684	OH

General Provider Information

NPI Number	:	1871187799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY TESCH LPCC

Provider Business Mailing Address
First Line	:	101 W WATER ST STE 2
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-3293
Country	:	US
Telephone Number	:	937-280-6547
Fax Number	:	937-915-2133

Provider Business Practice Location Address
First Line	:	101 W WATER ST STE 2
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-3293
Country	:	US
Telephone Number	:	937-280-6547
Fax Number	:	937-915-2133

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

Provider Enumeration Date	:	02/22/2021
Last Update Date	:	01/22/2026

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Directions to “ MARY TESCH LPCC” Practice Location

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