Provider Demographics
NPI:1679244719
Name:HILBORN, TIFFANY A (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:A
Last Name:HILBORN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 E THOUSAND OAKS BLVD # 32
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6056
Mailing Address - Country:US
Mailing Address - Phone:805-702-7816
Mailing Address - Fax:
Practice Address - Street 1:860 E THOUSAND OAKS BLVD # 32
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6056
Practice Address - Country:US
Practice Address - Phone:805-702-7816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT134763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist