Individual provider · Type 1 NPI

Matthew Tiffany, LCPC

Professional Counselor · Brunswick, ME

NPI number 1336308709 Active

Practice location

11 Medical Center Dr
Brunswick, ME 04011-2690

Mailing address

98 Maine St
Brunswick, ME 04011-2031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCC3955 (ME)
Professional Counselor Primary 101YP2500XCC3955 (ME)

Professional Counselor: Definition to come...

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About NPI 1336308709

Matthew Tiffany, LCPC's National Provider Identifier is 1336308709, issued on Jun 2, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brunswick, ME. The record was last updated on Oct 14, 2020.