person
Tara Danielle Widak, PC
Professional Counselor in Shelby Township, Michigan
NPI 1669849881

Tara Danielle Widak is a Professional Counselor based in Shelby Township, MI and is specialized in Professional. Tara Danielle Widak practices in Shelby Township, MI and has the professional credentials of PC. The NPI Number for Tara Danielle Widak is 1669849881 and holds a License No. 6401014946 (Michigan).

The current practice location address for Tara Danielle Widak is 4501 24 Mile Rd Ste B, Shelby Township, MI and can be reached out via phone at 248-413-5865 and via fax at 248-413-5869.

Location: 4501 24 Mile Rd Ste B, Shelby Township, MI, 48316-3005
person
Provider Profile Details
NPI Number
1669849881
Provider Name
Tara Danielle Widak
Credential
PC
Provider Entity Type
Individual
Gender
Female
Address
4501 24 Mile Rd Ste B, Shelby Township, MI, 48316-3005
Phone Number
248-413-5865
Fax Number
248-413-5869
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4501 24 Mile Rd Ste B
City
State
Zip
48316-3005
Phone Number
248-413-5865
Fax Number
248-413-5869
person
Provider Business Mailing Address Details
Address
4501 24 Mile Rd Ste B
City
State
Zip
48316-3005
Phone Number
248-413-5865
Fax Number
248-413-5869
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401014946 (Michigan)
Definition
Definition to come...
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