Individual
TIFFANY NICOELL JEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9932 36TH ST SE, LAKE STEVENS, WA 98258-5703
(208) 724-7419
Mailing address
828 HEALTHY WAY, VIRGINIA BEACH, VA 23462-7958
(757) 965-8686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH70006276
WA
101YP2500X
Professional Counselor
Primary
0701013410
VA
Other
Enumeration date
03/25/2024
Last updated
03/04/2026
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