Individual
TIFFANI DANIELLE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 GRAVES DR STE 3, GOLDSBORO, NC 27534-4536
(919) 223-6004
Mailing address
2719 GRAVES DR STE 3, GOLDSBORO, NC 27534-4536
(919) 223-6004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
374U00000X
Home Health Aide
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882290622
—
NC
Enumeration date
05/20/2022
Last updated
08/19/2022
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