Provider Demographics
NPI:1710630595
Name:JAFFE, DANA (LCMHC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:JAFFE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-0236
Mailing Address - Country:US
Mailing Address - Phone:828-348-8133
Mailing Address - Fax:828-285-1211
Practice Address - Street 1:959 MERRIMON AVE STE 9
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-348-8133
Practice Address - Fax:828-285-1211
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17295101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health