Individual
TIFFANY BASKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7043 PALAMAR TURN, LANHAM, MD 20706-2166
(804) 683-6591
Mailing address
7043 PALAMAR TURN, LANHAM, MD 20706-2166
(804) 683-6591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00396
DC
101YM0800X
Mental Health Counselor
Primary
PRC200002152
DC
Other
Enumeration date
10/03/2022
Last updated
05/04/2026
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