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Individual

MR. MICHAEL WAYNE TASSIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT, LMHC

Contact information

Practice address
90 LOUIS PRIMA DR STE A, COVINGTON, LA 70433-5958
(360) 742-7187
(360) 890-4099
Mailing address
585 MALIBU DR SE, LACEY, WA 98503-1376
(360) 742-7187

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60340894
WA
106H00000X
Marriage & Family Therapist
Primary
1334
LA
106H00000X
Marriage & Family Therapist
LF60600292
WA

Other

Enumeration date
02/24/2011
Last updated
03/28/2018
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