Provider Demographics
NPI:1336947027
Name:TESSMANN, AOIFE Q
Entity type:Individual
Prefix:
First Name:AOIFE
Middle Name:Q
Last Name:TESSMANN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 FAIR DR APT 104
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-6254
Mailing Address - Country:US
Mailing Address - Phone:617-448-3330
Mailing Address - Fax:
Practice Address - Street 1:170 E 17TH ST STE 205
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3701
Practice Address - Country:US
Practice Address - Phone:617-448-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor