Individual provider · Type 1 NPI

Tiffany Van Dame

Mental Health Counselor · Mansfield, OH

NPI number 1104500206 Active

Practice location

1066 Lexington Ave
Mansfield, OH 44907-2250

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104500206

Tiffany Van Dame's National Provider Identifier is 1104500206, issued on Jun 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, OH. The record was last updated on Jun 12, 2023.