Individual
SACOYA TARA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
1455 S LAPEER RD STE 200, LAKE ORION, MI 48360-1468
(248) 693-4000
Mailing address
901 VILLAGE GREEN LN APT 3051, WATERFORD, MI 48328-2457
(586) 565-0755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023869
MI
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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