| Doctor Name: | MRS. DANIELLE TABRON |
| NPI Number: | 1366836660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | A11530 |
| Business Practice Address: | 112 Elizabeth Dr Grifton, NC - 285308572 |
| Business Phone Number: | 2527146297 |
| Business Fax Number: | |
| Mailing Address: | 112 Elizabeth Dr, GRIFTON |
| State: | NC |
| Postal Code: | 285308572 |
| Phone Number: | 2527146297 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2015 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A11530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |