person
Tiffany Jermaine Stallworth-graham
Addiction (Substance Use Disorder) Counselor in Culver City, California
NPI 1770253148

Tiffany Jermaine Stallworth-graham is an Addiction (Substance Use Disorder) Counselor based in Culver City, CA and is specialized in Addiction (Substance Use Disorder). Tiffany Jermaine Stallworth-graham practices in Culver City, CA. The NPI Number for Tiffany Jermaine Stallworth-graham is 1770253148 and holds a License No. R1438170721 (California).

The current practice location address for Tiffany Jermaine Stallworth-graham is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612 and via fax at 310-398-5690.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230-4820
person
Provider Profile Details
NPI Number
1770253148
Provider Name
Tiffany Jermaine Stallworth-graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Phone Number
310-390-6612
Fax Number
310-398-5690
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
State
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
310-398-5690
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
State
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
310-398-5690
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1438170721 (California)
Definition
Definition to come...
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