Individual
MS. TIFFANI MICHELLE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
111 CORAL COURT, APT 5, BECKLEY, WV 25801
(304) 922-1665
Mailing address
PO BOX 175, PINEY VIEW, WV 25906-0175
(304) 992-1665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2157
WV
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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