person
Mallory Tanis
Mental Health Counselor in Lake Orion, Michigan
NPI 1457958092

Mallory Tanis is a Mental Health Counselor based in Lake Orion, MI and is specialized in Mental Health. Mallory Tanis practices in Lake Orion, MI. The NPI Number for Mallory Tanis is 1457958092 and holds a License No. 6401018504 (Michigan).

The current practice location address for Mallory Tanis is 189 W Clarkston Rd, Lake Orion, MI and can be reached out via phone at 844-642-9273.

Location: 189 W Clarkston Rd, Lake Orion, MI, 48361-0018
person
Provider Profile Details
NPI Number
1457958092
Provider Name
Mallory Tanis
Credential
Provider Entity Type
Individual
Gender
Female
Address
189 W Clarkston Rd, Lake Orion, MI, 48361-0018
Phone Number
844-642-9273
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
189 W Clarkston Rd
City
State
Zip
48362-2892
Phone Number
844-642-9273
Fax Number
person
Provider Business Mailing Address Details
Address
189 W Clarkston Rd
City
State
Zip
48362-2892
Phone Number
844-642-9273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401018504 (Michigan)
Definition
Definition to come...
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