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Tiffany Mary Renae Porter
Peer Specialist in Warsaw, New York
NPI 1083209621

Tiffany Mary Renae Porter is a Peer Specialist based in Warsaw, NY. Tiffany Mary Renae Porter practices in Warsaw, NY. The NPI Number for Tiffany Mary Renae Porter is 1083209621 and holds a License No. (New York).

The current practice location address for Tiffany Mary Renae Porter is 96 W Buffalo St, Warsaw, NY and can be reached out via phone at 585-219-3654.

Location: 96 W Buffalo St, Warsaw, NY, 14569-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083209621
Provider Name
Tiffany Mary Renae Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
96 W Buffalo St, Warsaw, NY, 14569-1210
Phone Number
585-219-3654
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
96 W Buffalo St
City
Warsaw
State
New York
Zip
14569-1210
Phone Number
585-219-3654
Fax Number
person
Provider Business Mailing Address Details
Address
96 W Buffalo St
City
Warsaw
State
New York
Zip
14569-1210
Phone Number
585-219-3654
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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