Individual
MELISSA REE TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1636 S GLENSTONE AVE STE 100, SPRINGFIELD, MO 65804-1527
(417) 881-1300
(417) 883-5148
Mailing address
703 W KATELLA ST, SPRINGFIELD, MO 65807-4509
(417) 655-7131
(417) 883-5148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2000150931
MO
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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