Doctor Name: | MR. DANIEL G.K. TABACHNICK |
NPI Number: | 1639473523 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 58646 Mcnulty Way Saint Helens, OR - 970516210 |
Business Phone Number: | 5414828906 |
Business Fax Number: | 5414826462 |
Mailing Address: | 105 S 3rd St, SAINT HELENS |
State: | OR |
Postal Code: | 970512009 |
Phone Number: | 5033975211 |
Fax Number: | 5033975373 |
NPI Enumeration Date: | 01/06/2011 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |