Individual
TIFFANEY KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 PAGE AVE STE 130, FAIRFAX, VA 22030-4012
(571) 447-6048
Mailing address
10640 PAGE AVE STE 130, FAIRFAX, VA 22030-4012
(571) 447-6048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704013619
VA
Other
Enumeration date
03/30/2021
Last updated
03/19/2026
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