Individual
ABRAHAM TATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
2290 10TH AVE N STE 601, LAKE WORTH, FL 33461-6618
(561) 823-3178
(561) 516-8861
Mailing address
2290 10TH AVE N STE 601, LAKE WORTH, FL 33461-6618
(561) 823-3178
(561) 516-8861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19656
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2024
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