Provider Demographics
NPI:1457807364
Name:PAUL, TESSA T (MS, NCC, LCMHC, ACS)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:T
Last Name:PAUL
Suffix:
Gender:F
Credentials:MS, NCC, LCMHC, ACS
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:T
Other - Last Name:BRANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LCMHC
Mailing Address - Street 1:356 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4504
Mailing Address - Country:US
Mailing Address - Phone:828-652-2919
Mailing Address - Fax:828-652-2981
Practice Address - Street 1:356 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4504
Practice Address - Country:US
Practice Address - Phone:828-254-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional