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NPI Code Detail

MEDICARE: TIFFANY RADCLIFF LPC, LCPC

MEDICARE: TIFFANY RADCLIFF LPC, LCPC
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 Counselor2010011442MO

General Provider Information

NPI Number : 1023420502
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY RADCLIFF LPC, LCPC
Provider Business Mailing Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number : 877-505-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 02/20/2025

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