Individual
TIFFANI SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3207
(253) 968-2252
Mailing address
14344 JOHN SCAGNO, EL PASO, TX 79938-3207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75259
TX
Other
Enumeration date
10/02/2019
Last updated
08/22/2023
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