Individual
TIFFANY ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.M.H.C.
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 623-4770
(801) 623-4771
Mailing address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 623-4770
(801) 623-4771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8082713-6009
UT
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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