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NPI Code Detail

MEDICARE: TIFFANY MARIE HARDRIDGE

MEDICARE: TIFFANY MARIE HARDRIDGE
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
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1346109881
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MARIE HARDRIDGE
Provider Business Mailing Address
First Line : 6970 SE KING RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9715
Country : US
Telephone Number : 206-387-3411
Fax Number :
Provider Business Practice Location Address
First Line : 307 W COTA ST
Second Line :
City : SHELTON
State : WA
Zip : 98584-2265
Country : US
Telephone Number : 360-205-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ TIFFANY MARIE HARDRIDGE ” Practice Location

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