Individual
JACQUELINE KAY TAHTINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11082 VOLTZ RD, PELKIE, MI 49958-9655
(906) 395-0467
Mailing address
11082 VOLTZ RD, PELKIE, MI 49958-9655
(906) 395-0467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401002626
WI
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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