Individual
MRS. CANDICE MAE TATRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PO BOX 591, LAPEER, MI 48446-0591
(810) 356-3304
Mailing address
11965 YALE RD, BROCKWAY, MI 48097-2858
(810) 691-5050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013138
MI
Other
Enumeration date
07/03/2012
Last updated
09/02/2025
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