Tiffany Bean, LADC

NPI #1104151968 in South Portland, Maine

Provider Information

NPI Number: 1104151968
Entity Type: Individual
Name: Tiffany Bean, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LADC
Enumeration Date: Oct 13, 2009
Last Updated: Oct 13, 2009

Practice Location

Address: 525 MAIN ST
City: South Portland
State: Maine
ZIP Code: 04106-5462
Phone: (207) 874-1045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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