Individual
TIFFANY MARISA HALBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 W LISBON AVE STE 103, MILWAUKEE, WI 53210-2116
(414) 442-1751
Mailing address
6040 W LISBON AVE STE 103, MILWAUKEE, WI 53210-2116
(414) 214-7331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/21/2020
Last updated
07/13/2023
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