Provider Demographics
NPI:1720596646
Name:TRESSY, JOHN P (LPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:TRESSY
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 1:67 PRESIDENT STREET
Mailing Address - Street 2:MSC 861, IOP 2- SOUTH
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412
Mailing Address - Country:US
Mailing Address - Phone:843-792-4155
Mailing Address - Fax:
Practice Address - Street 1:67 PRESIDENT STREET
Practice Address - Street 2:MSC 861, IOP 2- SOUTH
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412
Practice Address - Country:US
Practice Address - Phone:843-792-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6679101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional