Individual provider · Type 1 NPI
Tiffany Deriso Laster
Professional Counselor · Americus, GA
NPI number
1174489363
Active
Practice location
472 US Highway 280 W
Americus, GA 31719-9107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1174489363
Tiffany Deriso Laster's National Provider Identifier is 1174489363, issued on Dec 31, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Americus, GA. The record was last updated on Dec 31, 2025.