Individual provider · Type 1 NPI

Tiffany Deanna Ellison

Mental Health Counselor · Lakewood, WA

NPI number 1043828551 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043828551

Tiffany Deanna Ellison's National Provider Identifier is 1043828551, issued on Jul 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Jul 21, 2020.