Provider Demographics
NPI:1154538973
Name:TURNER, TIFFINY DENISE (LMFT)
Entity type:Individual
Prefix:MISS
First Name:TIFFINY
Middle Name:DENISE
Last Name:TURNER
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 1:5825 LINCOLN AVE STE D-419
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3463
Mailing Address - Country:US
Mailing Address - Phone:657-529-6820
Mailing Address - Fax:
Practice Address - Street 1:5825 LINCOLN AVE STE D-419
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3463
Practice Address - Country:US
Practice Address - Phone:657-529-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist