Individual provider · Type 1 NPI

Tanzella Edison, LPC

Professional Counselor · Detroit, MI

NPI number 1508275694 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Mailing address

2192 Prince Hall Dr
Detroit, MI 48207-5110

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401012965 (MI)

Professional Counselor: Definition to come...

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About NPI 1508275694

Tanzella Edison, LPC's National Provider Identifier is 1508275694, issued on Aug 4, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Oct 26, 2021.