Individual provider · Type 1 NPI

Jessica Tietje

Mental Health Counselor · Toledo, OH

NPI number 1306210182 Active

Practice location

4334 Secor Rd
Toledo, OH 43623-4234

Mailing address

2055 Napoleon Rd, Apt 21-O
Bowling Green, OH 43402-9151

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306210182

Jessica Tietje's National Provider Identifier is 1306210182, issued on Nov 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Toledo, OH. The record was last updated on Nov 1, 2018.