Andrew Tam

NPI #1396386520 in Banning, California

Provider Information

NPI Number: 1396386520
Entity Type: Individual
Name: Andrew Tam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 29, 2019
Last Updated: May 16, 2022

Practice Location

Address: 755 W HOFFER ST
City: Banning
State: California
ZIP Code: 92220-2348
Phone: (951) 922-0356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Counselor	101Y00000X	Primary

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