person
Mrs. Tiffany R Derrick, LCPC
Professional Counselor in Gainesville, Georgia
NPI 1124399589

Tiffany R Derrick is a Professional Counselor based in Gainesville, GA and is specialized in Professional. Tiffany R Derrick practices in Gainesville, GA and has the professional credentials of LCPC. The NPI Number for Tiffany R Derrick is 1124399589 and holds a License No. (Georgia).

The current practice location address for Tiffany R Derrick is 629 Dawsonville Hwy Ste 2201, Gainesville, GA and can be reached out via phone at 678-701-8477 and via fax at 229-516-1395.

Location: 629 Dawsonville Hwy Ste 2201, Gainesville, GA, 30501-2632
person
Provider Profile Details
NPI Number
1124399589
Provider Name
Tiffany R Derrick
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
629 Dawsonville Hwy Ste 2201, Gainesville, GA, 30501-2632
Phone Number
678-701-8477
Fax Number
229-516-1395
Provider Enumeration Date
01/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
629 Dawsonville Hwy Ste 2201
City
State
Zip
30501-2632
Phone Number
678-701-8477
Fax Number
229-516-1395
person
Provider Business Mailing Address Details
Address
629 Dawsonville Hwy Ste 2201
City
State
Zip
30501-2632
Phone Number
678-701-8477
Fax Number
229-516-1395
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.009330 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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