Individual provider · Type 1 NPI
Tiffany Renate Kilroy, LMHC
Professional Counselor · Portage, IN
NPI number
1679104343
Active
Practice location
55 Shore Dr
Portage, IN 46368-1008
Mailing address
709 Plaza Dr., Suite 2, Pmb 279
Chesterton, IN 46304-1572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003699A (IN) |
| Professional Counselor Primary | 101YP2500X | 39003699A (IN) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Portage
About NPI 1679104343
Tiffany Renate Kilroy, LMHC's National Provider Identifier is 1679104343, issued on Jan 30, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portage, IN. The record was last updated on Nov 16, 2023.