Individual provider · Type 1 NPI

Tiffany Ladell Mayes, BA, BA, PSRS

Mental Health Counselor · Chickasha, OK

NPI number 1417140484 Active

Practice location

804 W Choctaw Ave
Chickasha, OK 73018-2310

Mailing address

2725 Valley View Dr Apt 16
Chickasha, OK 73018-7388

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417140484

Tiffany Ladell Mayes, BA, BA, PSRS's National Provider Identifier is 1417140484, issued on Aug 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chickasha, OK. The record was last updated on Sep 20, 2007.