TIFFANY LAUREN HENNING

DESERT HOT SPRINGS, CA
NPI1124544671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  166724-III)
Enumeration Date2017-08-16
Last Update Date2017-08-16
Business Address
TIFFANY LAUREN HENNING CATC-III
14320 PALM DR
DESERT HOT SPRINGS, CA 92240-6874
Phone number: 760-770-2222
Mailing Address
TIFFANY LAUREN HENNING CATC-III
45381 CLINTON ST
INDIO, CA 92201-3804
Phone number: 760-880-7738