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General NPI Number Information
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NPI Number | 1720516362
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Entity Type | Organization
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Legal Business Name | TIFFANY ZARIFKAR, LMHC, LLC
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 104 2ND AVE NW
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1301
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Country | US
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Telephone | 319-693-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 104 2ND AVE NW
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1301
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Country | US
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Telephone | 319-693-2266
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Fax |
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Authorized Official
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Title or Position | OWNER, MENTAL HEALTH COUNSELOR
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Name | TIFFANY ZARIFKAR
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Credential | MA, LMHC, NCC
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Telephone | 319-693-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 001373
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License Number State | IA
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