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

Mrs. Tisha Micko

Individual provider Professional Counselor · NPI 1972380103

Mrs. Tisha Micko is a Professional Counselor in Belleville, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

624 Oak Hill Dr
Belleville, IL 62223-2247
Phone: (314) 532-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1972380103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address624 Oak Hill Dr, Belleville, IL 62223-2247

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