Individual provider · Type 1 NPI

Tiffany L. Ickes, MHC

Mental Health Counselor · Portland, IN

NPI number 1336402171 Active

Practice location

931 W Water St
Portland, IN 47371-1755

Call (765) 288-1928 Map

Fax (765) 741-0335

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336402171

Tiffany L. Ickes, MHC's National Provider Identifier is 1336402171, issued on Jun 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, IN. The record was last updated on Jun 18, 2012.