Tiffany A Wild
Tiffany A Wild is a Mental Health Counselor in Chesterfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2024
Practice location Address checks out
15455 Conway Rd Ste 117Chesterfield, MO 63017-2022
Phone: (636) 466-3077
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 2022037460 (MO) |
|---|
Record details
| NPI number | 1578393278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2024 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |
| Mailing address | 15455 Conway Rd Ste 117, Chesterfield, MO 63017-2022 |
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