Individual
ACHA TECHE TAZO DATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE STE 222, WASHINGTON, DC 20002-1851
(240) 791-7863
Mailing address
1818 NEW YORK AVE NE STE 222, WASHINGTON, DC 20002-1851
(240) 791-7863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/29/2023
Last updated
07/26/2023
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