Individual
ADOLFO TIBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
586 PRESIDENT ST APT 6D, BROOKLYN, NY 11215-1392
(917) 709-2927
Mailing address
586 PRESIDENT ST APT 6D, BROOKLYN, NY 11215-1392
(917) 709-2927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
02/09/2023
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