Individual
TIFFANY ANN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, BCC, CADC-I
Contact information
Practice address
2172 N SALEM ST STE 105, APEX, NC 27523-6457
(919) 629-4360
(919) 629-4362
Mailing address
1312 DALGARVEN DR, APEX, NC 27502-3944
(919) 579-9663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
225A00000X
Music Therapist
—
—
405300000X
Prevention Professional
CPS-21125
NC
Other
Enumeration date
03/22/2023
Last updated
06/13/2025
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