person
Tiffany Souza, BA
Mental Health Counselor in San Andreas, California
NPI 1629679634

Tiffany Souza is a Mental Health Counselor based in San Andreas, CA and is specialized in Mental Health. Tiffany Souza practices in San Andreas, CA and has the professional credentials of BA. The NPI Number for Tiffany Souza is 1629679634 and holds a License No. 101YM0800X (California).

The current practice location address for Tiffany Souza is 10400 Fricot City Rd, San Andreas, CA and can be reached out via phone at 209-736-4500.

Location: 10400 Fricot City Rd, San Andreas, CA, 95249-9642
person
Provider Profile Details
NPI Number
1629679634
Provider Name
Tiffany Souza
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
10400 Fricot City Rd, San Andreas, CA, 95249-9642
Phone Number
209-736-4500
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10400 Fricot City Rd
City
State
Zip
95249-9642
Phone Number
209-736-4500
Fax Number
person
Provider Business Mailing Address Details
Address
10400 Fricot City Rd
City
State
Zip
95249-9642
Phone Number
209-736-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
101YM0800X (California)
Definition
Definition to come...
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