MEDICARE: MRS. TIFFANY CHYRENE CUTTING MA

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
1	106H00000X	Marriage & Family Therapist	MG60774477	WA
2	101YM0800X	Mental Health Counselor	LH60925815	WA

General Provider Information

NPI Number	:	1730608126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFFANY CHYRENE CUTTING MA

Provider Business Mailing Address
First Line	:	12128 N DIVISION ST UNIT 447
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1905
Country	:	US
Telephone Number	:	509-991-0108
Fax Number	:

Provider Business Practice Location Address
First Line	:	12128 N DIVISION ST UNIT 447
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1905
Country	:	US
Telephone Number	:	509-991-0108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2017
Last Update Date	:	01/27/2020

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