Individual
TIFFANY POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3760 RAMBLEWOOD DR, HORN LAKE, MS 38637-1534
(662) 234-7521
(662) 236-3071
Mailing address
3760 RAMBLEWOOD DR, HORN LAKE, MS 38637-1534
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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