TIFFANY MARIE WILLINGHAM

COSTA MESA, CA
NPI1699507814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  18573)
Enumeration Date2024-08-16
Last Update Date2024-08-16
Business Address
TIFFANY MARIE WILLINGHAM Sudrc
671 GOVERNOR ST
COSTA MESA, CA 92627-2504
Phone number: 949-343-6565
Mailing Address
TIFFANY MARIE WILLINGHAM Sudrc
14400 NEWPORT AVE APT 91
TUSTIN, CA 92780-5624
Phone number: 949-343-6566