Individual provider · Type 1 NPI

Gibran Tatum, LPC

Professional Counselor · Ashland, OH

NPI number 1982008074 Active

Practice location

1590 Crestview Dr
Ashland, OH 44805-3560

Call (419) 289-0970 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X080696 (OH)
Professional Counselor Primary 101YP2500XC1801524 (OH)

Professional Counselor: Definition to come...

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About NPI 1982008074

Gibran Tatum, LPC's National Provider Identifier is 1982008074, issued on Oct 17, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ashland, OH. The record was last updated on Apr 21, 2020.