Individual provider · Type 1 NPI

Antonio Tabboga

Mental Health Counselor · San Jose, CA

NPI number 1285055020 Active

Practice location

2221 Enborg Ln
San Jose, CA 95128-2608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285055020

Antonio Tabboga's National Provider Identifier is 1285055020, issued on Dec 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Dec 20, 2013.