Tisha Micko

Professional Counselor · Belleville, IL

Individual Active NPI

NPI number 1972380103

Practice location

624 Oak Hill Dr
Belleville, IL 62223-2247
Phone
(314) 532-5202

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NPI record

NPI
1972380103
Entity type
Individual (Type 1)
Enumeration date
September 11, 2023
Last updated
December 5, 2023
Certified
December 5, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X — —

About Tisha Micko

Tisha Micko is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 624 Oak Hill Dr, Belleville, IL 62223-2247. The NPI number 1972380103 was assigned on September 11, 2023 and the record was last updated on December 5, 2023.

Frequently asked questions

What is the NPI number of Tisha Micko?

The NPI number is 1972380103.

What is the phone number of Tisha Micko?

The phone number listed for the practice location is (314) 532-5202.

Where is Tisha Micko located?

624 Oak Hill Dr, Belleville, IL 62223-2247.

What is the taxonomy code for Tisha Micko?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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