Individual
MR. SCOTT R. TAFELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.H.C.
Contact information
Practice address
1818 WENT AVE, SUITE A, MISHAWAKA, IN 46545-6482
(765) 288-1928
(574) 254-0188
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000722A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010680314
TAX I.D. NUMBER
IN
Enumeration date
09/01/2006
Last updated
06/09/2015
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