Search › California › 175T00000X
Tisha Koen
NPI 1235778465 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2933 H St
Eureka, CA 95501 - Phone
- (707) 441-3783
- Organisation at this address
- Humboldt County Behavioral Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California