NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CMR411, BOX 3475
APO, AE09112
 Phone: 314-476-2079


Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

Indicates primary specialty

NPI Profile & details for GEORGIA T TIESSEN · (Female)

NPI Number 1346379591
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 03/05/2007
Last updated 04/20/2008 - About 9 years ago
Sole proprietor 1 Yes
LA License # 938
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.


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