Individual
TIFFANY MARIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4225 W GLENDALE AVE STE A201, PHOENIX, AZ 85051-8194
(623) 258-1904
Mailing address
12317 W DENTON AVE, LITCHFIELD PARK, AZ 85340-3434
(623) 258-1904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
C9021
OR
101YM0800X
Mental Health Counselor
Primary
LPC-21496
AZ
Other
Enumeration date
06/01/2022
Last updated
02/10/2025
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