person
Tiffany D Boonstoppel
Mental Health Counselor in Cottage Grove, Oregon
NPI 1194096388

Tiffany D Boonstoppel is a Mental Health Counselor based in Cottage Grove, OR and is specialized in Mental Health. Tiffany D Boonstoppel practices in Cottage Grove, OR. The NPI Number for Tiffany D Boonstoppel is 1194096388 and holds a License No. (Oregon).

The current practice location address for Tiffany D Boonstoppel is 1345 Birch Ave, Cottage Grove, OR and can be reached out via phone at 541-942-3939 and via fax at 541-942-9310.

Location: 1345 Birch Ave, Cottage Grove, OR, 97424-1416
person
Provider Profile Details
NPI Number
1194096388
Provider Name
Tiffany D Boonstoppel
Credential
Provider Entity Type
Individual
Gender
Female
Address
1345 Birch Ave, Cottage Grove, OR, 97424-1416
Phone Number
541-942-3939
Fax Number
541-942-9310
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019047 05 OR
institution
Provider Business Practice Location Address Details
Address
1345 Birch Ave
City
State
Zip
97424-1416
Phone Number
541-942-3939
Fax Number
541-942-9310
person
Provider Business Mailing Address Details
Address
1345 Birch Ave
City
State
Zip
97424-1416
Phone Number
541-942-3939
Fax Number
541-942-9310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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