Individual
TIFFANY TENISIA RIKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
133 STETSON DR, CHARLOTTE, NC 28262-3326
(704) 596-5606
Mailing address
314 HILLANDALE ST NE, CONCORD, NC 28025-3240
(336) 501-5045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12003A
NC
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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