Individual
TIFFANY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3059 VINCINATO DR, SPARKS, NV 89434
(310) 853-2514
Mailing address
2929 VISTA BLVD UNIT 50773, SPARKS, NV 89435-7036
(310) 853-2514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
106923
CA
106H00000X
Marriage & Family Therapist
Primary
4468-R
NV
106H00000X
Marriage & Family Therapist
IMF 88980
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4468-R
STATE OF NEVADA BOARD OF EXAMINERS FOR MFT
NV
Enumeration date
01/13/2015
Last updated
01/09/2023
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