Individual
MRS. TIFFANY LOUANN TRUELOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 S CENTER AVE, SHAWNEE, OK 74801-8000
(405) 585-8345
Mailing address
126 S CENTER AVE, SHAWNEE, OK 74801-8000
(405) 432-2844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/18/2021
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