Individual
TIFFANY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALS
Contact information
Practice address
903 E TOWNE LAKE CIR, OPELIKA, AL 36804-3207
(334) 444-5869
Mailing address
903 E TOWNE LAKE CIR, OPELIKA, AL 36804-3207
(334) 524-7897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04441
AL
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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