Provider Demographics
NPI:1710179163
Name:TISCHER, HANS (LPC)
Entity Type:Individual
Prefix:MR
First Name:HANS
Middle Name:
Last Name:TISCHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11625 BAILEY MOUNTAIN TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3062
Mailing Address - Country:US
Mailing Address - Phone:804-744-7555
Mailing Address - Fax:804-744-8696
Practice Address - Street 1:4525 W HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1741
Practice Address - Country:US
Practice Address - Phone:804-778-7685
Practice Address - Fax:804-778-7686
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002548101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor