TIFFANY MACK

BROOKLYN, NY
NPI1861962631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  33272)
Enumeration Date2018-12-04
Last Update Date2018-12-04
Business Address
TIFFANY MACK CASAC-T
1463 FLATBUSH AVE
BROOKLYN, NY 11210-2428
Phone number: 718-951-9009
Mailing Address
TIFFANY MACK CASAC-T
621 CRESCENT ST
BROOKLYN, NY 11208-3935
Phone number: 718-406-7075