Individual
TIFFANY S. MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
305 TY TY ST, JESUP, GA 31545-1267
(912) 427-3456
(912) 427-3457
Mailing address
PO BOX 1082, JESUP, GA 31598-1082
(912) 427-3456
(912) 427-3457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003750
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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