Individual
TIFFANY FALTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
239 ANDERSON AVE, FAIRVIEW, NJ 07022-1401
(201) 757-3800
Mailing address
77 PRESTON ST, RIDGEFIELD PARK, NJ 07660-1507
(201) 994-9476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06762800
NJ
106H00000X
Marriage & Family Therapist
37LC00312800
NJ
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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