Individual
FREDDIE A TABORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
53 W JACKSON BLVD STE 438, CHICAGO, IL 60604-3416
(312) 788-9310
Mailing address
1618 W GRANVILLE AVE # 3, CHICAGO, IL 60660-1231
(312) 788-9310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.002203
IL
Other
Enumeration date
05/29/2007
Last updated
08/21/2013
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