Provider Demographics
NPI:1982856043
Name:MORGAN, TIFFANY (MFTI)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3131 CAMINO DEL RIO N STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-5709
Mailing Address - Country:US
Mailing Address - Phone:888-724-7240
Mailing Address - Fax:
Practice Address - Street 1:3131 CAMINO DEL RIO N STE 800
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-5709
Practice Address - Country:US
Practice Address - Phone:888-724-7240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA02530301OtherEMPLOYER STATE ID