Individual
MS. TIFFANY LYNN CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
205 CAPITOL ST STE 500, CHARLESTON, WV 25301-2229
(304) 546-0305
(304) 546-0305
Mailing address
108 MCVEY WAY, CHARLESTON, WV 25387-2100
(681) 385-0707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-920
WV
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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