Individual
LINDA RF TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
57 EXCHANGE ST, SUITE 402, PORTLAND, ME 04101-5000
(207) 619-3161
Mailing address
57 EXCHANGE ST, SUITE 402, PORTLAND, ME 04101-5000
(207) 619-3161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3618
ME
101YM0800X
Mental Health Counselor
Primary
CC2299
ME
Other
Enumeration date
01/03/2008
Last updated
10/06/2010
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