person
Dr. Tiffany Marie Modica, PSYD
Mental Health Counselor in Foothill Ranch, California
NPI 1265211239

Tiffany Marie Modica is a Mental Health Counselor based in Foothill Ranch, CA and is specialized in Mental Health. Tiffany Marie Modica practices in Foothill Ranch, CA and has the professional credentials of PSYD. The NPI Number for Tiffany Marie Modica is 1265211239 and holds a License No. 61475566 (California).

The current practice location address for Tiffany Marie Modica is 79 Carriage Dr, Foothill Ranch, CA and can be reached out via phone at 909-654-2530.

Location: 79 Carriage Dr, Foothill Ranch, CA, 92610-2428
person
Provider Profile Details
NPI Number
1265211239
Provider Name
Tiffany Marie Modica
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
79 Carriage Dr, Foothill Ranch, CA, 92610-2428
Phone Number
909-654-2530
Fax Number
Provider Enumeration Date
09/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
79 Carriage Dr
City
State
Zip
92610-2428
Phone Number
909-654-2530
Fax Number
person
Provider Business Mailing Address Details
Address
79 Carriage Dr
City
State
Zip
92610-2428
Phone Number
909-654-2530
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
61475566 (Washington)
Definition
Definition to come...
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