Individual
TIFFANY TERRI ORMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC UNDER SUPERVISI
Contact information
Practice address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2724
(405) 528-8686
Mailing address
712 HOWARD CT, EDMOND, OK 73003-5662
(405) 415-5515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649309626
—
OK
Enumeration date
01/05/2009
Last updated
01/05/2009
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