Individual
TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 210-2522
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 210-2522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7730-226
WI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/24/2023
Last updated
10/23/2024
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