Individual
MRS. TIFFANY FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-ASSOCIATE
Contact information
Practice address
4169 WESTPORT RD STE 103, LOUISVILLE, KY 40207-2747
(502) 333-9466
Mailing address
4169 WESTPORT RD STE 103, LOUISVILLE, KY 40207-2747
(502) 333-9466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
168067
KY
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
168067
KY
Other
Enumeration date
07/16/2019
Last updated
08/30/2022
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