Individual
TIFFANY BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4707 HARFORD RD STE C, BALTIMORE, MD 21214-3262
(443) 580-9346
Mailing address
4707 HARFORD RD STE C, BALTIMORE, MD 21214-3262
(443) 580-9346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/02/2021
Last updated
08/09/2022
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