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Individual
TIFFANY ANN EVANS
Active
Individual
TIFFANY ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-1497
MT
101YP2500X
Professional Counselor
1497
MT
106H00000X
Marriage & Family Therapist
IMF# 52227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000745950
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
05/30/2007
Last updated
08/14/2020
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