Individual
TIFFANY SCHUPANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-T
Contact information
Practice address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 557-2256
Mailing address
918 SE 11TH ST, DES MOINES, IA 50309-5324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
078987
IA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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