Individual
JEREMY TACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
26789 WOODWARD AVE STE 208, HUNTINGTON WOODS, MI 48070-1334
(313) 573-2992
Mailing address
19410 LUCERNE DR, DETROIT, MI 48203-1412
(313) 573-2992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6362009608
MI
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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