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

Mary Tieche

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1497472617

Mary Tieche is an Addiction (Substance Use Disorder) Counselor in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16068 (CA)

Record details

NPI number1497472617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address503 Ocean Front Walk, Venice, CA 90291-2403

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