Individual
ANDREA TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
(801) 359-3244
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
(801) 359-3244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9048594-6009
UT
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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