Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Marie Willingham, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699507814

Tiffany Marie Willingham, SUDRC is an Addiction (Substance Use Disorder) Counselor in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

671 Governor St
Costa Mesa, CA 92627-2504
Phone: (949) 343-6565
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 18573 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1699507814
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedAugust 16, 2024
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Other providers in Costa Mesa