Individual
TIFFANY M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15331 W BELL RD STE 212-80, SURPRISE, AZ 85374-4102
(623) 217-6658
Mailing address
9742 N 182ND LN, WADDELL, AZ 85355-4272
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
01/06/2025
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