Individual provider · Type 1 NPI
Mary Irene Telisak, LPC
Professional Counselor · Eau Claire, WI
NPI number
1205069499
Active
Practice location
4330 Golf Ter Ste 214
Eau Claire, WI 54701-4688
Fax (715) 598-6072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8076-125 (WI) |
| Mental Health Counselor | 101YM0800X | 076646 (IA) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Eau Claire
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- Amy Hahn, LPC, ATRProfessional Counselor Eau Claire, WI NPI 1003668781
- Grace Caroline Mathews, MS, LPC-ITProfessional Counselor Eau Claire, WI NPI 1003722695
- Gena Leigh Callihan, LPCProfessional Counselor Eau Claire, WI NPI 1013287523
- Sarah Bodeau, LPC, CSACProfessional Counselor Eau Claire, WI NPI 1033452719
- Leslie J. Cole, MS, LPCProfessional Counselor Eau Claire, WI NPI 1033693312
- Holly Davis, LPC-ITProfessional Counselor Eau Claire, WI NPI 1043080583
About NPI 1205069499
Mary Irene Telisak, LPC's National Provider Identifier is 1205069499, issued on Sep 3, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eau Claire, WI. The record was last updated on Aug 13, 2026.