Tiffany Rian Tate, LPC CANDIDATE

NPI #1417633710 in Durant, Oklahoma

Provider Information

NPI Number: 1417633710
Entity Type: Individual
Name: Tiffany Rian Tate, LPC CANDIDATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC CANDIDATE
Enumeration Date: Jun 22, 2023
Last Updated: Jun 22, 2023

Practice Location

Address: 622 BRYAN DR
City: Durant
State: Oklahoma
ZIP Code: 74701-3462
Phone: (580) 920-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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