Individual provider · Type 1 NPI
Tiffany Nicoell Jeppe
Professional Counselor · Lake Stevens, WA
NPI number
1104676105
Active
Practice location
9932 36th St SE
Lake Stevens, WA 98258-5703
Mailing address
828 Healthy Way
Virginia Beach, VA 23462-7958
Other practice locations
- 828 Healthy Way, Virginia Beach, VA 23462-7958 · (757) 965-8686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701013410 (VA) |
| Mental Health Counselor | 101YM0800X | LH70006276 (WA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Lake Stevens
About NPI 1104676105
Tiffany Nicoell Jeppe's National Provider Identifier is 1104676105, issued on Mar 25, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Stevens, WA. The record was last updated on Mar 4, 2026.