Individual
TIFFANY MARY CHESNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1034 23RD ST S STE 202, BIRMINGHAM, AL 35205-2462
(205) 876-7791
Mailing address
3005 ALISA WAY, BIRMINGHAM, AL 35243-5321
(205) 901-6353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4018
AL
Other
Enumeration date
01/26/2019
Last updated
09/18/2022
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