Individual
TIFFANY DAWN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 503-3666
(253) 503-1633
Mailing address
16010 119TH AVE E, PUYALLUP, WA 98374-9713
(253) 722-7405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61521893
WA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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