Colleen Tavor's National Provider Identifier (NPI) Details
Colleen Tavor, MA, LPC, NCC, CCTP
NPI: 1235540337
Enumeration Date: 2014-05-12
Last updated: 2016-01-04
Sole Proprietor: YES
Status: active
Postal Address: 32718 GRAND RIVER AVE UNIT C5, FARMINGTON, MI
Phone: 248-302-9396
Primary Practice Address: 17344 W 12 MILE RD, SUITE 203, SOUTHFIELD, MI
Practice's phone: 248-302-9396