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Tahlib James Mcmicheaux I
Mental Health Counselor in Indio, California
NPI 1730546706

Tahlib James Mcmicheaux I is a Mental Health Counselor based in Indio, CA and is specialized in Mental Health. Tahlib James Mcmicheaux I practices in Indio, CA. The NPI Number for Tahlib James Mcmicheaux I is 1730546706 and holds a License No. N257711 (California).

The current practice location address for Tahlib James Mcmicheaux I is 47825 Oasis St, Indio, CA and can be reached out via phone at 760-863-8455 and via fax at 760-863-8587.

Location: 47825 Oasis St, Indio, CA, 92201-6950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730546706
Provider Name
Tahlib James Mcmicheaux I
Credential
Provider Entity Type
Individual
Gender
Male
Address
47825 Oasis St, Indio, CA, 92201-6950
Phone Number
760-863-8455
Fax Number
760-863-8587
Provider Enumeration Date
01/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
47825 Oasis St
City
Indio
State
California
Zip
92201-6950
Phone Number
760-863-8455
Fax Number
760-863-8587
person
Provider Business Mailing Address Details
Address
47825 Oasis St
City
Indio
State
California
Zip
92201-6950
Phone Number
760-863-8455
Fax Number
760-863-8587
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
N257711 (California)
Definition
Definition to come...
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