Shannan Tiphareth
Shannan Tiphareth is an Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2020.
- Licensed in
- CO
- In the registry since
- 2020
Practice location Address checks out
3470 Baltimore AvePueblo, CO 81008-1520
Phone: (719) 369-3781
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence ACB.0008677 (CO) |
|---|
Record details
| NPI number | 1871100719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 24, 2020 |
| Last updated in NPPES | September 24, 2020 |
| Certification date | September 24, 2020 |
| Mailing address | 3470 Baltimore Ave, Pueblo, CO 81008-1520 |
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