Individual
TIFFANY ANN BICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1707 CEDAR GROVE RD STE 20, SHEPHERDSVILLE, KY 40165-8592
(502) 215-5090
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 873-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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