Individual
TIFFANY RIAN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
622 BRYAN DR, DURANT, OK 74701-3462
(580) 920-0909
Mailing address
4092 CHURCH RD, MEAD, OK 73449-5024
(580) 380-0965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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