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NPI Code Detail

MEDICARE: TIFFANY DUNCAN-ASH LPC

MEDICARE: TIFFANY DUNCAN-ASH LPC
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
1101YP2500XProfessional Counselor2023029401MO

General Provider Information

NPI Number : 1790466233
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY DUNCAN-ASH LPC
Provider Business Mailing Address
First Line : PO BOX 777
Second Line :
City : RICHLAND
State : MO
Zip : 65556-0777
Country : US
Telephone Number : 573-708-7600
Fax Number : 573-723-1474
Provider Business Practice Location Address
First Line : 1501 SCHOOL RD
Second Line :
City : LAKE OZARK
State : MO
Zip : 65049-9761
Country : US
Telephone Number : 573-836-7102
Fax Number : 573-765-3122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 09/27/2023

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Directions to “ TIFFANY DUNCAN-ASH LPC” Practice Location

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