Individual
TIFFANY NICOLE MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-CIT
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Mailing address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3177-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059241
—
WI
Enumeration date
08/08/2016
Last updated
10/11/2016
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