Individual
TIFFANI TANIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8590 W FAIRVIEW AVE STE A, BOISE, ID 83704-8320
(208) 672-0260
Mailing address
1031 W SANETTA ST, NAMPA, ID 83651-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8448
ID
Other
Enumeration date
02/20/2019
Last updated
11/15/2021
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