Individual
TIFFANY NIEPOKUJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
26105 ORCHARD LAKE RD, SUITE 309, FARMINGTON HILLS, MI 48334-4576
(248) 957-9163
Mailing address
26105 ORCHARD LAKE RD, SUITE 309, FARMINGTON HILLS, MI 48334-4576
(248) 957-9163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015146
MI
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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