Individual
TIFFANY ANNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 825-6191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
12/19/2024
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