Provider Demographics
NPI:1720283104
Name:NAFF, GEORGE EAKIN III (MA, DMIN, NCC, LPC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EAKIN
Last Name:NAFF
Suffix:III
Gender:M
Credentials:MA, DMIN, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BODENHEIMER DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4023
Mailing Address - Country:US
Mailing Address - Phone:828-265-9265
Mailing Address - Fax:
Practice Address - Street 1:516 NEW MARKET BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4014
Practice Address - Country:US
Practice Address - Phone:828-265-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4448101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional