Individual
TIFFANY JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2206
(586) 213-5505
Mailing address
16645 15 MILE RD, CLINTON TWP, MI 48035-2206
(586) 213-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401224717
MI
101YM0800X
Mental Health Counselor
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
06/06/2018
Last updated
10/16/2024
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