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

Tisha Lee Koen

Individual provider Peer Specialist · NPI 1235778465

Tisha Lee Koen is a Peer Specialist in Eureka, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2933 H St
Eureka, CA 95501-4407
Phone: (707) 441-3783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (CA)

Record details

NPI number1235778465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address336 W Sonoma St, Eureka, CA 95501-2818

Other providers in Eureka