Individual
TIANA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(475) 439-9639
Mailing address
1 PINE ST, WEST HAVEN, CT 06516-1247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8579
CT
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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