Individual
TIFFANY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9200 S SPRINGFIELD AVE, EVERGREEN PARK, IL 60805-1460
(708) 209-7088
Mailing address
9200 S SPRINGFIELD AVE, EVERGREEN PARK, IL 60805-1460
(708) 209-7088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180015730
IL
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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