Individual provider · Type 1 NPI

Tiffany Diane Cardinal

Addiction (Substance Use Disorder) Counselor · Canon City, CO

NPI number 1134865892 Active

Practice location

3239 Independence Rd
Canon City, CO 81212-9380

Call (719) 275-7650 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002855 (CO)
Professional Counselor 101YP2500XLPCC.0023300 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134865892

Tiffany Diane Cardinal's National Provider Identifier is 1134865892, issued on May 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canon City, CO. The record was last updated on Nov 6, 2025.