Individual
TIFFANY COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
123 CREAMER DR, CEDARVILLE, OH 45314-8506
(937) 999-8257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0003942 SUPV
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
10/20/2020
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