Individual
TIFFANY ANN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Mailing address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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