Individual
TIFFANY ANNE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC LCPC
Contact information
Practice address
210 S WISCONSIN ST, CONRAD, MT 59425-2022
(406) 366-5644
Mailing address
PO BOX 572, CONRAD, MT 59425-0572
(406) 366-5644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1119
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013555
—
MT
Enumeration date
08/30/2006
Last updated
05/18/2023
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