Tiffany Marie Nielson, LPC

NPI #1225384779 in Chubbuck, Idaho

Provider Information

NPI Number: 1225384779
Entity Type: Individual
Name: Tiffany Marie Nielson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Aug 1, 2012
Last Updated: Jul 2, 2014

Practice Location

Address: 224 EVANS LN
Address 2: SUITE 1
City: Chubbuck
State: Idaho
ZIP Code: 83202-1912
Phone: (208) 237-4782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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