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Tiffany Clark
Mental Health Counselor in Grants Pass, Oregon
NPI 1811482359

Tiffany Clark is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Tiffany Clark practices in Grants Pass, OR. The NPI Number for Tiffany Clark is 1811482359 and holds a License No. (Oregon).

The current practice location address for Tiffany Clark is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811482359
Provider Name
Tiffany Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
616430 05 OR
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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