Individual
TIFFANY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24303 WALNUT ST STE C1, NEWHALL, CA 91321-2900
(661) 410-6313
(732) 782-0203
Mailing address
452 W NEES AVE APT 128, FRESNO, CA 93711-6214
(646) 812-0740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13623
CA
101YP2500X
Professional Counselor
Primary
13623
CA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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