Most Relevant Information
Provider Data
| NPI Number: | 1003476839 |
| Provider Name: | TIFFANY BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0701008371 |
Most Important Dates
| Enumeration Date: | 06/14/2019 |
| Last Updated: | 06/14/2019 |
Provider Practice Location
8 SAN JOSE DR STE 3E
NEWPORT NEWS
VA
236063508
Practice Location Phone/Fax
| Phone: | 7576578088 |
| Fax: |
Provider Mailing Location
1000 JEFFERSON ST STE 2C
LYNCHBURG
VA
245041724
Provider Mailing Phone/Fax
| Phone: | 7576578088 |
| Fax: | 6178070958 |