Individual provider · Type 1 NPI

Tiffani Marie Crochet I

Mental Health Counselor · Medford, OR

NPI number 1205205705 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1205205705

Tiffani Marie Crochet I's National Provider Identifier is 1205205705, issued on Sep 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Nov 22, 2022.