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NPI Code Detail

MEDICARE: STEPHANIE ANNE RAYBURN LCMHCA

MEDICARE: STEPHANIE ANNE RAYBURN LCMHCA
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
1101YM0800XMental Health CounselorA21134NC

General Provider Information

NPI Number : 1649072315
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANNE RAYBURN LCMHCA
Provider Business Mailing Address
First Line : 988 KITCHENS BRANCH RD
Second Line :
City : SYLVA
State : NC
Zip : 28779-7762
Country : US
Telephone Number : 828-226-7705
Fax Number :
Provider Business Practice Location Address
First Line : 626 N MAIN ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3820
Country : US
Telephone Number : 828-283-0113
Fax Number : 828-246-0254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 06/04/2025

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Directions to “ STEPHANIE ANNE RAYBURN LCMHCA” Practice Location

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