Individual
BARBARA TABALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-G
Contact information
Practice address
100 ROUTE 59, SUITE 117, AIRMONT, NY 10901-4927
(845) 369-9701
(845) 369-9704
Mailing address
101 GEDNEY ST, APT 6G, NYACK, NY 10960-2237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2353
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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