Individual
TIFFANY PORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA NCC LPC
Contact information
Practice address
6363 E DYNAMITE BLVD, CAVE CREEK, AZ 85331-3498
(480) 244-6794
(480) 588-2877
Mailing address
PO BOX 26833, SCOTTSDALE, AZ 85255-0130
(480) 244-6794
(480) 588-2877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12826
AZ
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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