Individual
CHRISTOPHER LEE TIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 210-1667
Mailing address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 210-1660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
10302
CA
Other
Enumeration date
09/14/2011
Last updated
04/15/2024
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