Individual
COUPER TANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
4896 OAK TREE CT, BRIGHTON, MI 48116-9775
(630) 835-1081
Mailing address
4896 OAK TREE CT, BRIGHTON, MI 48116-9775
(630) 835-1081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851117180
MI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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