Individual
TARA FLEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
9885 STATE HIGHWAY M95, REPUBLIC, MI 49879-9131
(906) 282-3130
Mailing address
191 HEMLOCK STREET, REPUBLIC, MI 49879
(906) 376-2643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015102
MI
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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