| Doctor Name: | MS. TABITHA VIRGINIA ANN COFFINDAFFER |
| NPI Number: | 1205982014 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., N.C.C |
| License Number: | 1330 |
| Business Practice Address: | 501 N Pike St Grafton, WV - 263541217 |
| Business Phone Number: | 3042653947 |
| Business Fax Number: | |
| Mailing Address: | Rr 4 Box 87, GRAFTON |
| State: | WV |
| Postal Code: | 263549312 |
| Phone Number: | 3042652880 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 1330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |