Individual provider · Type 1 NPI
Tiffany Talley Gordon
Mental Health Counselor · Wellington, FL
NPI number
1194439463
Active
Practice location
12161 Ken Adams Way Ste 212
Wellington, FL 33414-3192
Mailing address
289 Courtney Lakes Cir Apt 204
West Palm Beach, FL 33401-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194439463
Tiffany Talley Gordon's National Provider Identifier is 1194439463, issued on Jan 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wellington, FL. The record was last updated on Jan 10, 2023.