Individual
TIFFANY ROSE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
8120 PENN AVE S, BLOOMINGTON, MN 55431-1358
(612) 965-2545
Mailing address
11975 PORTLAND AVE STE 130, BURNSVILLE, MN 55337-1589
(612) 965-2545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
MN
Enumeration date
08/23/2022
Last updated
02/09/2026
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