Individual
TIFFANY A BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587-6090
(919) 263-0951
Mailing address
14409 HAMLETVILLE ST, RALEIGH, NC 27614-6621
(917) 504-4979
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01898
NC
106H00000X
Marriage & Family Therapist
12306A
NC
Other
Enumeration date
05/18/2021
Last updated
10/14/2024
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