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Tiffany Danielle Cosby

Counselor, Addiction (Substance Use Disorder) in Bakersfield, CA. Individual provider (NPI-1).

NPI number1194580449
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1194580449
Entity type
Individual (NPI-1)
Name
Tiffany Danielle Cosby
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2024
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)R1543920124CAYes

Practice location

3117 Wilson Rd
Bakersfield, CA 93304-5319

Phone 661-324-4756

Mailing address

4210 Greenrock Ave
Bakersfield, CA 93313-5435

Phone 701-609-6214

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