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
Certification Date: 2022-04-14
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1902549231 | ||||||||
Enumeration Date | 2022-04-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
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 |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|