Individual provider · Type 1 NPI

Kevin Tissot

Mental Health Counselor · Wauwatosa, WI

NPI number 1710192000 Active

Practice location

2600 N Mayfair Rd
Wauwatosa, WI 53226-1309

Fax (414) 257-3588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4175-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1710192000

Kevin Tissot's National Provider Identifier is 1710192000, issued on May 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 3, 2025.