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

Timothy Theisen, MALLCCADC

Individual provider Counselor · NPI 1184356099

Timothy Theisen, MALLCCADC is a Counselor in Mt Pleasant, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

122 N Lansing St
Mt Pleasant, MI 48858-1632
Phone: (989) 240-0192
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6451022346 (MI)

Record details

NPI number1184356099
Entity typeIndividual (Type 1)
GenderMale
Credentials MALLCCADC
Sole proprietorYes
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022

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