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NPI Code Detail

MEDICARE: TIFFANIE L KESTNER LPCC-S, LICDC-CS

MEDICARE: TIFFANIE L KESTNER LPCC-S, LICDC-CS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor081155OH
2101YP2500XProfessional CounselorE0008337OH
3101YM0800XMental Health CounselorE. 0008337OH

General Provider Information

NPI Number : 1063870954
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANIE L KESTNER LPCC-S, LICDC-CS
Provider Business Mailing Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-315-3789
Fax Number : 330-315-5230
Provider Business Practice Location Address
First Line : 702 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2422
Country : US
Telephone Number : 330-315-3789
Fax Number : 330-315-5230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2016
Last Update Date : 06/23/2022

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