Doctor Name: | CHRISTINE STEWART TOLBERT |
NPI Number: | 1396826905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLC |
License Number: | 4158 |
Business Practice Address: | 1007 Saint David St Tarboro, NC - 278863034 |
Business Phone Number: | 2528248033 |
Business Fax Number: | 2528248033 |
Mailing Address: | 1007 Saint David St, TARBORO |
State: | NC |
Postal Code: | 278863034 |
Phone Number: | 2528248033 |
Fax Number: | 2528248033 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |