Tiffany S Caraballo
Counselor, Professional in Ashburn, VA. Individual provider (NPI-1).
NPI number1992415665
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1992415665
- Entity type
- Individual (NPI-1)
- Name
- Tiffany S Caraballo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
20116 Ashbrook Pl Ste 110Ashburn, VA 20147-5086
Phone 480-660-8757
Mailing address
4980 Leesburg Pike Apt 206Alexandria, VA 22302-1110
Phone 228-324-2118
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