Doctor Name: | TAMAR TANISHA DRAUGHN |
NPI Number: | 1356780100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 002311 |
Business Practice Address: | 44 Lawlor St Apt 1s New Britain, CT - 060511109 |
Business Phone Number: | 8606809440 |
Business Fax Number: | |
Mailing Address: | 44 Lawlor St Apt 1s, NEW BRITAIN |
State: | CT |
Postal Code: | 060511109 |
Phone Number: | 8606809440 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 06/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 002311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |