Most Relevant Information
Provider Data
| NPI Number: | 1003586736 |
| Provider Name: | TABE NKI LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CACII200001243 |
Most Important Dates
| Enumeration Date: | 09/14/2021 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
502 KENNEDY ST NW
WASHINGTON
DC
200113136
Practice Location Phone/Fax
| Phone: | 2023137283 |
| Fax: |
Provider Mailing Location
931 CASLON WAY APT 104
HYATTSVILLE
MD
207856005
Provider Mailing Phone/Fax
| Phone: | 2405108595 |
| Fax: |