Individual
TIFFANY AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W CLARENDON AVE STE 470, PHOENIX, AZ 85013-3475
(602) 354-8906
Mailing address
300 W CLARENDON AVE STE 470, PHOENIX, AZ 85013-3475
(602) 354-8906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC22462
AZ
101YM0800X
Mental Health Counselor
Primary
LPC24374
AZ
Other
Enumeration date
09/05/2025
Last updated
11/05/2025
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