Individual
TIFANIE LEE GITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6873
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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