Individual
MS. MARSHA LATRICE TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED CASAC
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 853-1335
Mailing address
411 LONGMEADOW RD APT A, AMHERST, NY 14226-2974
(716) 578-8685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
12/21/2020
Last updated
09/29/2022
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