Individual
MS. TABITHA VIRGINIA ANN COFFINDAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., N.C.C
Contact information
Practice address
501 N PIKE ST, GRAFTON, WV 26354-1217
(304) 265-3947
Mailing address
RR 4 BOX 87, GRAFTON, WV 26354-9312
(304) 265-2880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1330
WV
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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