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Antonio Tabboga
Mental Health Counselor in San Jose, California
NPI 1285055020

Antonio Tabboga is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Antonio Tabboga practices in San Jose, CA. The NPI Number for Antonio Tabboga is 1285055020 and holds a License No. (California).

The current practice location address for Antonio Tabboga is 2221 Enborg Ln, San Jose, CA and can be reached out via phone at 408-885-6150.

Location: 2221 Enborg Ln, San Jose, CA, 95128-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285055020
Provider Name
Antonio Tabboga
Credential
Provider Entity Type
Individual
Gender
Male
Address
2221 Enborg Ln, San Jose, CA, 95128-2608
Phone Number
408-885-6150
Fax Number
Provider Enumeration Date
12/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2221 Enborg Ln
City
San Jose
State
California
Zip
95128-2608
Phone Number
408-885-6150
Fax Number
person
Provider Business Mailing Address Details
Address
2221 Enborg Ln
City
San Jose
State
California
Zip
95128-2608
Phone Number
408-885-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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