Raycroft, Tatjana Estep

Raycroft, Tatjana Estep is an individual health care provider with primary practice located at 183 Academic Dr Bldg 39721 , Fort Gordon GA 30905-5933. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Raycroft, Tatjana Estep can be contacted via phone (706) 787-8271.

Contact Information

Primary practice address
183 Academic Dr Bldg 39721 Fort Gordon GA 30905-5933
Phone: (706) 787-8271
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003760 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 507545

Profile Details

NPI number 1568797173
LBN Legal business name Raycroft, Tatjana Estep
Credentials LCSW, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Oct 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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