Litchke Herdman, Tabbatha Jo

Litchke Herdman, Tabbatha Jo is an individual health care provider with primary practice located at 204 Nw 1St Ave Ste 4 , Grand Rapids MN 55744-2749. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Litchke Herdman, Tabbatha Jo can be contacted via phone (218) 392-5904.

Contact Information

Primary practice address
204 Nw 1St Ave Ste 4 Grand Rapids MN 55744-2749
Phone: (218) 392-5904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1849 Minnesota

Profile Details

NPI number 1518453554
LBN Legal business name Litchke Herdman, Tabbatha Jo
Credentials MS ED, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated Nov 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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