Tiffany D Mayne
Tiffany D Mayne is a Peer Specialist in San Jose, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
425 E Santa Clara StSan Jose, CA 95113-1936
Phone: (669) 245-3428
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-FNWJQK (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X (CA) |
Record details
| NPI number | 1518714062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2024 |
| Last updated in NPPES | June 2, 2026 |
| Certification date | June 2, 2026 |
| Mailing address | 425 E Santa Clara St, San Jose, CA 95113-1936 |
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