Individual
TIFFANY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 PRESERVE LAKE DR, COVINGTON, LA 70433-5336
(985) 205-1517
Mailing address
2000 PRESERVE LAKE DR, COVINGTON, LA 70433-5336
(985) 205-1517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC9856
LA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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