Individual provider · Type 1 NPI

Mallory Tanis

Mental Health Counselor · Lake Orion, MI

NPI number 1457958092 Active

Practice location

189 W Clarkston Rd
Lake Orion, MI 48362-2892

Call (844) 642-9273 Map

Mailing address

PO Box 18
Lake Orion, MI 48361-0018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401018504 (MI)

Mental Health Counselor: Definition to come...

9 other providers at this address

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About NPI 1457958092

Mallory Tanis's National Provider Identifier is 1457958092, issued on Oct 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Orion, MI. The record was last updated on Oct 6, 2020.