Individual
TIFFANY COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-T
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(762) 204-2608
Mailing address
523 POCKET RD NW, SUGAR VALLEY, GA 30746-5473
(706) 263-7900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T0584
GA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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