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Gibran Tatum, LPC
NPI 1982008074 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1590 Crestview Dr
Ashland, OH 44805 - Phone
- (419) 289-0970
- Organisation at this address
- Ashland Primary Care Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio