Individual
MRS. TIFFANY L LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1379 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 557-3336
Mailing address
1379 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 557-3336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7934
ID
Other
Enumeration date
03/20/2018
Last updated
05/24/2022
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