TIFFANY N AVISO LCPC-S, QSUDP
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1518358795- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCPC-S, QSUDP
- Status
- Active
Contact & Location
- Address
- 139 RIVER VISTA PL STE 201, TWIN FALLS, ID, 833013060
- Phone
- (208) 423-8270
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LCPC-6771