Individual provider · Type 1 NPI

Colleen Marie Tavor, MA, LPC, NCC, CCTP

Mental Health Counselor · Southfield, MI

NPI number 1235540337 Active

Practice location

17344 W 12 Mile Rd, Suite 203
Southfield, MI 48076-2121

Mailing address

32718 Grand River Ave Unit C5
Farmington, MI 48336-3155

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X6401010162 (MI)
Mental Health Counselor Primary 101YM0800X6401010162 (MI)
Professional Counselor 101YP2500X6401010162 (MI)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1235540337

Colleen Marie Tavor, MA, LPC, NCC, CCTP's National Provider Identifier is 1235540337, issued on May 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southfield, MI. The record was last updated on Jan 4, 2016.