Individual
ANISA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 BRADDOCK AVE, BRADDOCK, PA 15104
(412) 351-0222
Mailing address
1800 WEST ST FL 3, HOMESTEAD, PA 15120-2563
(412) 464-1522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH000152
PA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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