MEDICARE: MRS. JULIA HUGHES TABOR MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6630	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194923136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIA HUGHES TABOR MA, LPC

Provider Business Mailing Address
First Line	:	2614 CAMBRIDGE RD
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8804
Country	:	US
Telephone Number	:	336-684-9951
Fax Number	:	336-513-0554

Provider Business Practice Location Address
First Line	:	2207 DELANEY DR
Second Line	:	STE 107
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5263
Country	:	US
Telephone Number	:	336-684-9951
Fax Number	:	336-513-0554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	01/22/2008

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