Individual
TIFFANY MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH, QMHP
Contact information
Practice address
2902 W MAIN ST STE 2, RAPID CITY, SD 57702-8174
(605) 721-8822
Mailing address
2902 W MAIN ST STE 2, RAPID CITY, SD 57702-8174
(605) 721-8822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1046-12-15-19
ND
101YM0800X
Mental Health Counselor
IMHP-2457
NE
101YM0800X
Mental Health Counselor
LPC-1631
WY
101YM0800X
Mental Health Counselor
LPC-MH20401
SD
101YP2500X
Professional Counselor
Primary
LPC7431
SD
Other
Enumeration date
08/17/2017
Last updated
06/17/2022
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