Individual
MANDY TATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5655 N HIGH ST STE 112, WORTHINGTON, OH 43085-3948
(614) 406-0299
Mailing address
475 E TULANE RD, COLUMBUS, OH 43202-2240
(419) 544-2802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OH
Other
Enumeration date
01/05/2016
Last updated
09/26/2024
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