Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1902549231


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JACQUELINE KAY TAHTINEN LPC


Sex: Female

NPI: 1902549231
Last Updated: 2022-04-14
Certification Date: 2022-04-14

Details

NameValue
NPI1902549231
Enumeration Date2022-04-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 11082 VOLTZ RD
PELKIE, MI 49958-9655
United States

Phone: 906-395-0467 | Fax:
 
Primary Practice Address 11082 VOLTZ RD
PELKIE, MI 49958-9655
United States

Phone: 906-395-0467 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor WI6401002626