Individual
TIFFANYANN F TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E. HAWTHOREN AVENUE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E. HAWTHOREN AVENUE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60346109
WA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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