Individual
TIFFANY R. MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC,CADC
Contact information
Practice address
179 LISBON ST STE 201, LEWISTON, ME 04240-7248
(207) 241-9332
(207) 782-9011
Mailing address
179 LISBON ST STE 201, LEWISTON, ME 04240-7248
(207) 241-9332
(207) 782-9011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5228
ME
101YP2500X
Professional Counselor
Primary
CC5236
ME
101YP2500X
Professional Counselor
XL4798
ME
Other
Enumeration date
01/19/2017
Last updated
12/05/2024
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