Individual
TANDY JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
628 E PARENT AVE, ROYAL OAK, MI 48067-3765
(248) 221-2734
Mailing address
10535 VERNON AVE, HUNTINGTON WOODS, MI 48070-1565
(248) 979-1219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015001
MI
106H00000X
Marriage & Family Therapist
4101007646
MI
Other
Enumeration date
08/29/2023
Last updated
01/13/2026
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