Individual
TRICIA EAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 W 4TH ST STE 204, ROYAL OAK, MI 48067-3803
(458) 215-1356
Mailing address
1829 W STADIUM BLVD STE 300, ANN ARBOR, MI 48103-7009
(458) 215-1356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223026
MI
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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