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Individual
KARL SCOTT TIFFANY
Active
Individual
KARL SCOTT TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-R-31
OR
101YM0800X
Mental Health Counselor
Primary
LCPC5257
ID
101YP2500X
Professional Counselor
C2797
OR
Other
Enumeration date
01/18/2012
Last updated
12/01/2020
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