Individual
TIFFANY MASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
305 WATERTOWER BYPASS, CAMPBELLSVILLE, KY 42718-8661
(270) 465-7424
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
246553
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/03/2016
Last updated
01/21/2019
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