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Individual

TIFFANY FAYE VANDERZIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 335-1500
(507) 225-1501
Mailing address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1500
(507) 225-1501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
CC02622
MN

Other

Enumeration date
09/26/2018
Last updated
10/26/2020
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