Individual
TIFFANY FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108
(651) 645-5323
(651) 379-6105
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
(651) 379-6141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60590230
WA
101YP2500X
Professional Counselor
Primary
CC01415
MN
101YP2500X
Professional Counselor
LPC-4850
ID
Other
Enumeration date
06/27/2014
Last updated
05/26/2018
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