Individual
TIFFANY RIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW EAP CCTP
Contact information
Practice address
9169 W STATE ST # 135, BOISE, ID 83714-1733
(724) 237-1147
Mailing address
9169 W STATE ST # 135, BOISE, ID 83714-1733
(724) 237-1147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
213743
MA
1041C0700X
Clinical Social Worker
S.1600463
OH
1041C0700X
Clinical Social Worker
SW124507
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW124507
LSW
PA
Enumeration date
01/23/2017
Last updated
07/23/2020
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