Individual
TIFFANY LYNETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 ANSAR LN, INDIANAPOLIS, IN 46254-3128
(317) 487-9874
Mailing address
4308 ANSAR LN, INDIANAPOLIS, IN 46254-3128
(317) 487-9874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
10135400
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/08/2020
Last updated
05/08/2020
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