Provider Demographics
NPI:1457397267
Name:TEFFT, BETHANY L (NCC, NCSC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:L
Last Name:TEFFT
Suffix:
Gender:F
Credentials:NCC, NCSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6745
Mailing Address - Country:US
Mailing Address - Phone:919-787-7888
Mailing Address - Fax:919-787-9992
Practice Address - Street 1:1610 RIDGE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6745
Practice Address - Country:US
Practice Address - Phone:919-787-7888
Practice Address - Fax:919-787-9992
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool