Provider Demographics
NPI:1205664158
Name:AFT, CLAIRE (NCC, LCMHCA)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:AFT
Suffix:
Gender:F
Credentials:NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BROOKLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27370-9359
Mailing Address - Country:US
Mailing Address - Phone:336-970-7676
Mailing Address - Fax:
Practice Address - Street 1:3000 BETHESDA PL STE 501
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3327
Practice Address - Country:US
Practice Address - Phone:336-332-2277
Practice Address - Fax:336-346-8444
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health