Individual
CARLOS ALBERTO TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 PLEASANT ST STE 201, SAINT JOSEPH, MI 49085-2279
(269) 982-3832
Mailing address
830 PLEASANT ST STE 201, SAINT JOSEPH, MI 49085-2279
(269) 982-3832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023094
MI
Other
Enumeration date
12/09/2021
Last updated
11/22/2023
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