Individual
TINATIN TCHOUBABRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASACT
Contact information
Practice address
6336 99TH ST, REGO PARK, NY 11374-1979
(718) 459-2558
Mailing address
10920 QUEENS BLVD APT 1I, FOREST HILLS, NY 11375-5330
(718) 459-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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