Brafford, Tabatha Rae

Brafford, Tabatha Rae is an individual health care provider with primary practice located at 91 Timberlane Rd , Waynesville NC 28786-7927. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brafford, Tabatha Rae can be contacted via phone (828) 452-1395.

Contact Information

Primary practice address
91 Timberlane Rd Waynesville NC 28786-7927
Fax: (828) 452-1396
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4109 North Carolina

Profile Details

NPI number 1104982883
LBN Legal business name Brafford, Tabatha Rae
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 17th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104982883 NPPES
North Carolina Other 139PR BCBS
North Carolina MEDICAID 6102247 BCBS

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