Tiffany Nichole Blake
NPI #1073042842 in S Salt Lake, Utah
Provider Information
- NPI Number
- 1073042842
- Entity Type
- Individual
- Name
- Tiffany Nichole Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 6, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 447 W BEARCAT DR
- City
- S Salt Lake
- State
- Utah
- ZIP Code
- 84115-2519
- Phone
- (801) 355-2846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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