Individual
TIFFANY N. KROLL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16514-131
WI
104100000X
Social Worker
131004
WI
1041C0700X
Clinical Social Worker
Primary
9821-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629667431
—
WI
Enumeration date
01/15/2021
Last updated
06/07/2023
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