Individual provider · Type 1 NPI
Tisha Micko
Professional Counselor · Belleville, IL
NPI number
1972380103
Active
Practice location
624 Oak Hill Dr
Belleville, IL 62223-2247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1972380103
Tisha Micko's National Provider Identifier is 1972380103, issued on Sep 11, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belleville, IL. The record was last updated on Dec 5, 2023.