Individual provider · Type 1 NPI

Tiffany Edmonds

Mental Health Counselor · San Jose, CA

NPI number 1174188916 Active

Practice location

1555 Parkmoor Ave
San Jose, CA 95128-2407

Mailing address

PO Box 127
Napa, CA 94559-0127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174188916

Tiffany Edmonds's National Provider Identifier is 1174188916, issued on May 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on May 7, 2019.