Basic Information
| Provider Information | |||||||||
| NPI: | 1649507252 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TIRADO | ||||||||
| FirstName: | GABRIEL | ||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 971 SW WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971235651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036405297 | ||||||||
| FaxNumber: | 5036405780 | ||||||||
| Practice Location | |||||||||
| Address1: | 1592 GRANVILLE PIKE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431301076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406870835 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2009 | ||||||||
| LastUpdateDate: | 04/18/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | C.0900010 | OH | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.