Individual provider · Type 1 NPI

Tessa Wise-Howard

Student in an Organized Health Care Education/Training Program · Marina, CA

NPI number 1225488059 Active

Practice location

299 12th St Ste B
Marina, CA 93933-6003

Fax (831) 883-3032

Other practice locations

  • 1850 San Benito St, Hollister, CA 95023-4899 · (831) 636-2121

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed
Community Health Worker 172V00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225488059

Tessa Wise-Howard's National Provider Identifier is 1225488059, issued on Jun 13, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marina, CA. The record was last updated on Aug 28, 2020.