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1124544671
TIFFANY LAUREN HENNING
DESERT HOT SPRINGS, CA
NPI
1124544671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 166724-III)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
TIFFANY LAUREN HENNING CATC-III
14320 PALM DR
DESERT HOT SPRINGS, CA 92240-6874
Phone number: 760-770-2222
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Mailing Address
TIFFANY LAUREN HENNING CATC-III
45381 CLINTON ST
INDIO, CA 92201-3804
Phone number: 760-880-7738
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