Individual
FRANK EDWARD TABACZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
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
Update your record
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