person
Tequilla Schantel Bobo
Mental Health Counselor in Tampa, Florida
NPI 1508162116

Tequilla Schantel Bobo is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Tequilla Schantel Bobo practices in Tampa, FL. The NPI Number for Tequilla Schantel Bobo is 1508162116 and holds a License No. IMH9987 (Florida).

The current practice location address for Tequilla Schantel Bobo is 4107 W Spruce St, Tampa, FL and can be reached out via phone at 813-636-8811 and via fax at 813-636-8855.

Location: 4107 W Spruce St, Tampa, FL, 33607-2327
person
Provider Profile Details
NPI Number
1508162116
Provider Name
Tequilla Schantel Bobo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4107 W Spruce St, Tampa, FL, 33607-2327
Phone Number
813-636-8811
Fax Number
813-636-8855
Provider Enumeration Date
01/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MCD01967500 05 FL
institution
Provider Business Practice Location Address Details
Address
4107 W Spruce St
City
State
Zip
33607-2327
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider Business Mailing Address Details
Address
4107 W Spruce St
City
State
Zip
33607-2327
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH9987 (Florida)
Definition
Definition to come...
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