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Individual
TAHLIB JAMES MCMICHEAUX I
Active
Individual
TAHLIB JAMES MCMICHEAUX I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
N257711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
MEDICARE
CA
Enumeration date
01/21/2016
Last updated
01/21/2016
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