Dr. Tiffany Erin Gorsuch Bainter, PhD, LCPC, NCC
Counselor, Mental Health in Macomb, IL. Individual provider (NPI-1).
NPI number1790978377
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1790978377
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tiffany Erin Gorsuch Bainter
- Credential
- PhD, LCPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2007
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Tiffany Bainter (Professional Name)
Practice location
1 University CirMacomb, IL 61455-1367
Phone 309-298-1919
Mailing address
1 University CirMacomb, IL 61455-1367
Phone 309-298-1919
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