Individual
SCHALISA MICHELLE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, MHC
Contact information
Practice address
1102 FELLOWS ST, SOUTH BEND, IN 46601-3514
(574) 233-9491
(574) 999-1042
Mailing address
1102 FELLOWS ST, SOUTH BEND, IN 46601-3514
(574) 233-9491
(574) 999-1042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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