Individual provider · Type 1 NPI

Tiffany Onessia Shabazz

Addiction (Substance Use Disorder) Counselor · Greenwood, SC

NPI number 1306495684 Active

Practice location

1612 Rivers St
Greenwood, SC 29649-8513

Fax (864) 227-3619

Mailing address

PO Box 50209
Greenwood, SC 29649-0021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306495684

Tiffany Onessia Shabazz's National Provider Identifier is 1306495684, issued on Sep 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenwood, SC. The record was last updated on Sep 9, 2019.