Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tifanie Ann Kukwa, LPCC-SUPV, LICDC

Individual provider Counselor · NPI 1144702440

Mrs. Tifanie Ann Kukwa, LPCC-SUPV, LICDC is a Counselor in Dover, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

130 W 3rd St
Dover, OH 44622-2934
Phone: (330) 343-6600
Fax: (330) 343-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.1800986-SUPV (OH)
Counselor Taxonomy 101Y00000X · Licence E1800986 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC161884 (OH)

Record details

NPI number1144702440
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-SUPV , LICDC
Sole proprietorYes
NPI enumeratedSeptember 4, 2018
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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