Individual provider · Type 1 NPI
Jeremy Tacon, MA, TLLP
Mental Health Counselor · Huntington Woods, MI
NPI number
1326754615
Active
Practice location
26789 Woodward Ave Ste 208
Huntington Woods, MI 48070-1334
Mailing address
19410 Lucerne Dr
Detroit, MI 48203-1412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6362009608 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1326754615
Jeremy Tacon, MA, TLLP's National Provider Identifier is 1326754615, issued on Jan 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Huntington Woods, MI. The record was last updated on Jan 30, 2023.