Individual
ALISA TABAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1437 S BELCHER RD, CLEARWATER, FL 33764-2829
(727) 524-4464
(727) 210-6945
Mailing address
1437 S BELCHER RD, CLEARWATER, FL 33764-2829
(727) 524-4464
(727) 210-6945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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