Provider Demographics
NPI:1972170538
Name:DUNCAN, TIFFANY (LPC,NCC,MA)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPC,NCC,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4300
Mailing Address - Country:US
Mailing Address - Phone:912-355-5938
Mailing Address - Fax:912-355-5954
Practice Address - Street 1:515 E 63RD ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4300
Practice Address - Country:US
Practice Address - Phone:912-355-5938
Practice Address - Fax:912-355-5954
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional