Individual
EDUARDO TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 VIRGINIA AVE, INDIANAPOLIS, IN 46203-1706
(317) 974-0256
(317) 974-0265
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002519A
IN
Other
Enumeration date
06/02/2014
Last updated
09/30/2025
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