Provider Demographics
NPI:1285162784
Name:TESSMER, ANDREW JAMES (MED, LPC, LPCC, LHMC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:TESSMER
Suffix:
Gender:M
Credentials:MED, LPC, LPCC, LHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 N LOGAN ST APT 945
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4436
Mailing Address - Country:US
Mailing Address - Phone:720-340-3747
Mailing Address - Fax:
Practice Address - Street 1:1935 N LOGAN ST APT 945
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4436
Practice Address - Country:US
Practice Address - Phone:720-340-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-27
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77644101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional