Individual
MRS. KATHY RUTH TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
45 E LOUCKS ST STE 45, SHERIDAN, WY 82801-6339
(307) 675-8105
(307) 675-8105
Mailing address
1984 PAPAGO DR, SHERIDAN, WY 82801-5814
(307) 674-7558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1125
WY
Other
Enumeration date
01/25/2010
Last updated
05/23/2012
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