Most Relevant Information
Provider Data
| NPI Number: | 1003822719 |
| Provider Name: | JEAN SPENCE TATIS M.ED, LMHC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 09/24/2010 |
Provider Practice Location
45 SUMMER ST
LEOMINSTER
MA
014533228
Practice Location Phone/Fax
| Phone: | 5084214451 |
| Fax: | 5087951338 |
Provider Mailing Location
45 SUMMER ST
LEOMINSTER
MA
014533228
Provider Mailing Phone/Fax
| Phone: | 5084214451 |
| Fax: | 5087951338 |