Individual
TYLER GIFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
HWY 281N, CANDO, ND 58324
(701) 968-2554
(701) 968-2574
Mailing address
PO BOX 688, CANDO, ND 58324-0688
(701) 968-2568
(701) 968-2552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
GIF-82-9554
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GIF829554
LICENSE
ND
Enumeration date
05/11/2007
Last updated
07/08/2007
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