Individual
TIFFANY JANE SWINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
533 RALPH DAIL RD, MOUNT OLIVE, NC 28365-8334
(919) 221-0265
Mailing address
533 RALPH DAIL RD, MOUNT OLIVE, NC 28365-8334
(919) 221-0265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29455
NC
Other
Enumeration date
01/15/2024
Last updated
06/05/2024
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