Tesa Le Anne Tapuriah, MSAC, CSAC, ICADC

NPI #1720640949 in Kiel, Wisconsin

Provider Information

NPI Number: 1720640949
Entity Type: Individual
Name: Tesa Le Anne Tapuriah, MSAC, CSAC, ICADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MSAC, CSAC, ICADC
Enumeration Date: Jul 8, 2019
Last Updated: Apr 4, 2022

Practice Location

Address: 1090 RIVER ROCK CT APT 5
City: Kiel
State: Wisconsin
ZIP Code: 53042-2008
Phone: (863) 800-2018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Nurse's Aide	376K00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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