Individual
TABATA C ALAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
(937) 328-7257
Mailing address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
(937) 328-7257
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.2300368
OH
106H00000X
Marriage & Family Therapist
M.1500026
OH
Other
Enumeration date
12/09/2016
Last updated
11/13/2023
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