Individual
MS. TIFFANIE P LEYVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3108 N MARIGOLD DR, PHOENIX, AZ 85018-6741
(602) 418-1200
Mailing address
3108 N MARIGOLD DR, PHOENIX, AZ 85018-6741
(602) 418-1200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0649
THERAPY
AZ
Enumeration date
02/13/2023
Last updated
02/13/2023
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