Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-SAC
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17142-32
WI
Other
Enumeration date
08/21/2020
Last updated
06/14/2024
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