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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY NICHOLE BLAKE

Active Sole Proprietor

TIFFANY NICHOLE BLAKE is a Mental Health Counselor healthcare provider located in S SALT LAKE, Utah. NPI 1073042842 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · S SALT LAKE, UT

Registration Details

NPI Number
1073042842
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2017 (9.1666366751582 yrs)
Last Updated
Jul 21, 2022
Sole Proprietor
Yes

Practice Information

Address
447 W BEARCAT DR
S SALT LAKE, UT, 841152519
Browse UT providers · Browse ZIP 84115
Phone
8013552846
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in S SALT LAKE, UT

Name Credential NPI
MR. FISI MEIMUA MOLENI JR. 1588622336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.