DR. Tiffany Erin Gorsuch Bainter, PHD, LCPC, NCC

NPI #1790978377 in Macomb, Illinois

Provider Information

NPI Number
1790978377
Entity Type
Individual
Name
DR. Tiffany Erin Gorsuch Bainter, PHD, LCPC, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
PHD, LCPC, NCC
Enumeration Date
Aug 27, 2007
Last Updated
Jan 19, 2022

Practice Location

Address
1 UNIVERSITY CIR
City
Macomb
ZIP Code
61455-1367
Phone
(309) 298-1919

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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