National Provider Identifier

Mary Tieche

Mary Tieche is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Venice, CA and a listed phone number of (310) 392-3070.

NPI 1497472617Venice, CAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated October 27, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1497472617
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 27, 2022
Last Updated
October 27, 2022

Practice Location

  • 503 Ocean Front Walk
  • Venice, CA 90291-2403

Phone: (310) 392-3070

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Mary Tieche is a Venice, California-based counselor whose public provider record identifies her focus as addiction and substance-use counseling.

Full Record
NPI
1497472617
Entity Type
Individual
Last Name
Tieche
First Name
Mary
Mailing Street Address
503 Ocean Front Walk
Mailing City
Venice
Mailing State
CA
Mailing ZIP Code
90291-2403
Mailing Country
US
Mailing Phone
(310) 392-3070
Practice Street Address
503 Ocean Front Walk
Practice City
Venice
Practice State
CA
Practice ZIP Code
90291-2403
Practice Country
US
Practice Phone
(310) 392-3070
Enumeration Date
October 27, 2022
Last Updated
October 27, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
October 27, 2022
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)