Individual provider · Type 1 NPI

Tinatin Tchoubabria, CASACT

Addiction (Substance Use Disorder) Counselor · Rego Park, NY

NPI number 1750244067 Active

Practice location

6336 99th St
Rego Park, NY 11374-1979

Mailing address

10920 Queens Blvd Apt 1I
Forest Hills, NY 11375-5330

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750244067

Tinatin Tchoubabria, CASACT's National Provider Identifier is 1750244067, issued on Dec 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rego Park, NY. The record was last updated on Dec 3, 2025.