Individual
TATIANNA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CROCKER BLVD STE 101, MOUNT CLEMENS, MI 48043-2558
(586) 458-2266
(586) 468-4505
Mailing address
2 CROCKER BLVD STE 101, MOUNT CLEMENS, MI 48043-2558
(586) 468-2266
(586) 468-4505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
05/07/2025
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