Individual
TIFFANY VIENNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
135 W MAIN ST, STOUGHTON, WI 53589-2100
(608) 873-7838
Mailing address
148 FORTON ST, STOUGHTON, WI 53589-1604
(608) 445-0672
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1068-124
WI
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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