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Individual
MRS. TIFFANY IHEANACHO
Active
Individual
MRS. TIFFANY IHEANACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9649
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2959
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-2959
NC
101YM0800X
Mental Health Counselor
A9649
NC
101YP2500X
Professional Counselor
Primary
9649
NC
Other
Enumeration date
12/11/2012
Last updated
09/05/2017
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