Individual
TIFFANY L KULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2111 E BREEZEWOOD CT, PLOVER, WI 54467-3017
(715) 697-4329
Mailing address
2111 E BREEZEWOOD CT, PLOVER, WI 54467-3017
(715) 697-4329
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1040-124
WI
106H00000X
Marriage & Family Therapist
152-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154611572
—
WI
01
—
152-228
STATE OF WISCONSIN TRAINING LICENSE
WI
Enumeration date
04/19/2011
Last updated
09/15/2023
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