Individual
TIFFANY A TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 SOUTH 9TH AVE SUITE 103, CALDWELL, ID 83605
(208) 454-8555
Mailing address
1016 E SHERIDAN AVE, NAMPA, ID 83686-5327
(208) 697-6217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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