DR. Michael G Tavolacci, LPC

NPI #1518592872 in Roselle, Illinois

Provider Information

NPI Number: 1518592872
Entity Type: Individual
Name: DR. Michael G Tavolacci, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 6, 2020
Last Updated: Mar 7, 2020

Practice Location

Address: 390 E DEVON AVE STE 201
City: Roselle
State: Illinois
ZIP Code: 60172-1763
Phone: (630) 358-9821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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