Individual provider · Type 1 NPI

Tiffany Rian Tate, LPC CANDIDATE

Professional Counselor · Durant, OK

NPI number 1417633710 Active

Practice location

622 Bryan Dr
Durant, OK 74701-3462

Mailing address

4092 Church Rd
Mead, OK 73449-5024

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1417633710

Tiffany Rian Tate, LPC CANDIDATE's National Provider Identifier is 1417633710, issued on Jun 22, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Durant, OK. The record was last updated on Jun 22, 2023.