Individual provider · Type 1 NPI

Tiffany D. Boonstoppel

Mental Health Counselor · Cottage Grove, OR

NPI number 1194096388 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Fax (541) 942-9310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194096388

Tiffany D. Boonstoppel's National Provider Identifier is 1194096388, issued on Jan 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Jan 19, 2012.