Individual
FRANK EDWARD TABACZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Mailing address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L1351419
MI
101YP2500X
Professional Counselor
Primary
L1351419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
12/02/2008
Last updated
12/02/2008
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