Danielle Tabron, LPCA

Individual provider Active NPI Professional Counselor · Grifton, NC

NPI 1366836660 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1366836660
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
A11530 (NC)
Practice address
112 Elizabeth Dr
Grifton, NC 28530-8572
Phone
(252) 714-6297
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A11530NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A11530 NC Yes
Mental Health Counselor 101YM0800X A11530 NC

Addresses

Primary practice location

112 Elizabeth Dr
Grifton, NC 28530-8572

Mailing address

112 Elizabeth Dr
Grifton, NC 28530-8572
Phone (252) 714-6297

Other providers in Grifton, NC

All providers in Grifton, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.