Individual
TIFFANY ALEXIS LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 S FIFE ST STE 301, TACOMA, WA 98409-7309
(253) 589-5334
Mailing address
3901 S FIFE ST STE 301, TACOMA, WA 98409-7309
(253) 589-5334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61473165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-0342521
—
WA
Enumeration date
12/23/2020
Last updated
01/03/2024
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