Individual provider · Type 1 NPI

Maxine Tibbetts, LCMHC

Mental Health Counselor · Bunnlevel, NC

NPI number 1073992772 Active

Practice location

749 Lasater Rd
Bunnlevel, NC 28323-9137

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800X15327 (NC)

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About NPI 1073992772

Maxine Tibbetts, LCMHC's National Provider Identifier is 1073992772, issued on May 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bunnlevel, NC. The record was last updated on Oct 3, 2022.