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Individual

TIFFANY POLLACK GUENTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT, ATR-BC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002572-01
NY
221700000X
Art Therapist
Primary
002572-01
NY
251S00000X
Community/Behavioral Health Agency
002572-01
NY

Other

Enumeration date
08/30/2021
Last updated
02/07/2023
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