TIFFANY MARIE MODICA

COSTA MESA, CA
NPI1265211239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  61475566)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WA  LH61475566)
Enumeration Date2023-09-27
Last Update Date2024-10-13
Business Address
Dr. TIFFANY MARIE MODICA PsyD
1700 ADAMS AVE STE 214
COSTA MESA, CA 92626-4865
Phone number: 714-957-1973
Mailing Address
Dr. TIFFANY MARIE MODICA PsyD
1700 ADAMS AVE STE 214
COSTA MESA, CA 92626-4865
Phone number: 714-957-1973