Tiffany Ann Burton
Counselor in Kenosha, WI. Individual provider (NPI-1).
NPI number1306547724
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1306547724
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Ann Burton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2023
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 7298-226 | WI | Yes |
Practice location
2108 63rd StKenosha, WI 53143-4454
Phone 262-652-2406
Mailing address
6233 39th AveKenosha, WI 53142-7015
Phone 262-654-1004
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All 36 Counselor providers in Kenosha · All 2,489 providers in Kenosha
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