Individual
TIFFANY CHRYSTAL SEEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 NV-160, PAHRUMP, NV 89060
(775) 505-1625
Mailing address
2050 NV-160, PAHRUMP, NV 89060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111111
NV
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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