Individual
TIFFANY EDDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6851114399
—
MI
Enumeration date
03/09/2022
Last updated
03/09/2022
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