Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Irene Telisak, LPC

Individual provider Mental Health Counselor · NPI 1205069499

Mary Irene Telisak, LPC is a Mental Health Counselor in Eau Claire, Wisconsin. Licensed in Iowa and Wisconsin. Registered with an NPI since 2009.

Licensed in
IA, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4330 Golf Ter Ste 214
Eau Claire, WI 54701-4688
Phone: (715) 255-0664
Fax: (715) 598-6072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8076-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 076646 (IA)

Record details

NPI number1205069499
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 3, 2009
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

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