Individual provider · Type 1 NPI

Mistie Ann Tennant, LCPC

Mental Health Counselor · Belleville, IL

NPI number 1265066880 Active

Practice location

115 Lincoln Place Ct Ste 102
Belleville, IL 62221

Call (314) 643-8664 Map

Fax (614) 416-1401

Other practice locations

  • 2900 Frank Scott Pkwy W Ste 990, Belleville, IL 62223-5000 · (618) 236-6501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.012771 (IL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1265066880

Mistie Ann Tennant, LCPC's National Provider Identifier is 1265066880, issued on Feb 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Mar 16, 2023.