Mr. Tanagon Micke Pacheco
Mr. Tanagon Micke Pacheco is a Mental Health Counselor in Culver City, California. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (310) 090-6612
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1629385562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 13, 2010 |
| Last updated in NPPES | June 11, 2012 |
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Mr. Sal B Pena
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