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Individual
TIFFANY SHEREE SHAW
Active
Individual
TIFFANY SHEREE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC,LPC, NCC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2075
NC
101YM0800X
Mental Health Counselor
7366
NC
101YP2500X
Professional Counselor
Primary
7366
NC
Other
Enumeration date
06/12/2009
Last updated
06/08/2023
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