Individual
MR. MICHAEL ROBERT TABACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C., M.A.
Contact information
Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250
(317) 621-7561
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001662A
IN
Other
Enumeration date
03/22/2007
Last updated
11/12/2020
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