Individual
BRIEANNE KATHLEEN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 882-4698
Mailing address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 882-4698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6851119626
MI
Other
Enumeration date
05/09/2024
Last updated
07/03/2025
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