Individual
TIFFANY LYNN MADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 829-9307
Mailing address
19280 GRAVE LAKE RD, BRAINERD, MN 56401-4735
(612) 750-0291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04185
MN
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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