Mallory Tanis
NPI #1457958092 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1457958092
- Entity Type
- Individual
- Name
- Mallory Tanis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 189 W CLARKSTON RD
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48362-2892
- Phone
- (844) 642-9273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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