Individual
TIFFANY MARIE CARRANCO
Active
Individual
TIFFANY MARIE CARRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM, CPSS
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
F25-120397
UT
251B00000X
Case Management Agency
F25-123810
UT
Other
Enumeration date
12/06/2022
Last updated
07/29/2026
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