Ickes, Tiffany L.

Ickes, Tiffany L. is an individual health care provider with primary practice located at 931 W Water St , Portland IN 47371-1755. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ickes, Tiffany L. can be contacted via phone (765) 288-1928.

Contact Information

Primary practice address
931 W Water St Portland IN 47371-1755
Phone: (765) 288-1928
Fax: (765) 741-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336402171
LBN Legal business name Ickes, Tiffany L.
Credentials MHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jun 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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