Individual
TIFFANY MARIE CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 345-0579
Mailing address
2217 S 15TH ST, MOUNT VERNON, WA 98274-9020
(425) 345-0579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005637
WA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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