Tiffany Secrest

NPI 1013197656 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1013197656
Gender Female
Enumeration Date 11/12/2007
Last Updated 11/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1001 S 57TH ST
RICHMOND CA, 94804-4806, US
Phone (510) 374-3732
Fax
Business Location
1001 S 57TH ST
RICHMOND CA, 94804-4806, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 53981
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According to our database, Ms. Tiffany Secrest NPI is 1013197656, taxonomy code is 106H00000X and license number is 53981, license state is located at California. Tiffany Secrest physically located at 1001 S 57th St, Richmond CA, 94804-4806. NPI Number Tiffany Secrest has the Individual type.

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1013197656 NPI number is provided on an as is basis without warranty of any kind. 1013197656 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Secrest are for informational purposes only.