Individual
DURINA TAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 W SOUTHERN AVE, MESA, AZ 85210-5008
(602) 279-5262
Mailing address
777 W SOUTHERN AVE, MESA, AZ 85210-5008
(602) 279-5262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-18085
AZ
104100000X
Social Worker
Primary
LCSW18085
AZ
Other
Enumeration date
05/11/2021
Last updated
05/04/2026
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