Individual provider · NPI-1

Tanis J Allen, MSW

Counselor, Mental Health · Ann Arbor, MI

NPI number1699788448
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1699788448
Entity type
Individual (NPI-1)
Name
Tanis J Allen
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health6801046541MIYes

Practice location

110 E Kingsley St
Ann Arbor, MI 48104-1138

Phone 734-417-7667

Mailing address

110 E Kingsley St
Ann Arbor, MI 48104-1138

Phone 734-417-7667

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