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Individual

TIFFANY A WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
(540) 438-5783
Mailing address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
(540) 438-5783

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103066
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184791725
VA
05
1699868786
VA
Enumeration date
11/10/2017
Last updated
11/10/2017
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