Individual provider · Type 1 NPI
Tiffany Shell Flippen, LSAA
Addiction (Substance Use Disorder) Counselor · Grants, NM
NPI number
1104453836
Active
Practice location
1016 E. Roosevelt Ave.
Grants, NM 87020
Fax (505) 287-6737
Mailing address
1120 Inwood Ave
Grants, NM 87020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Grants
About NPI 1104453836
Tiffany Shell Flippen, LSAA's National Provider Identifier is 1104453836, issued on Mar 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grants, NM. The record was last updated on Mar 24, 2020.