Individual
DR. TIFFANIE D SUTHERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2820 WATERFORD LAKE DR STE 102, MIDLOTHIAN, VA 23112-3994
(804) 658-4509
Mailing address
PO BOX 400, GLOUCESTER POINT, VA 23062-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010518
VA
Other
Enumeration date
07/26/2021
Last updated
09/08/2021
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