Individual
MS. TIFFANY BUFORT-ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
5200 2ND ST NW, WASHINGTON, DC 20011-6622
(202) 519-9997
Mailing address
3261 OLD WASHINGTON RD STE 2031, WALDORF, MD 20602-3313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009875
PA
101YP2500X
Professional Counselor
PRC15525
DC
Other
Enumeration date
02/26/2018
Last updated
08/17/2023
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