IndividualActive
Jose Tavares, COUNSELOR
NPI 1043876840 · Pastoral Counselor · Allentown, PA
Provider details
- NPI number
- 1043876840
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- COUNSELOR
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
39 N 13th St
Allentown, PA 18102-4339
Registry dates
- Enumerated
- 2019-05-16
- Last updated
- 2019-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.