Individual
TIFFANY MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 CRAIN HWY STE 510, WALDORF, MD 20601-2819
(301) 509-1738
Mailing address
18 KEARNEY WAY, INDIAN HEAD, MD 20640-1582
(301) 509-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548996291
—
MD
Enumeration date
07/26/2022
Last updated
07/28/2022
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