Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP2500X | Professional Counselor | LPC.0016894 | CO |
NPI | 1003344052 |
---|---|
Provider Name | Tiffany Joy Rode |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80014-2622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2017 |
Last Update Date | 08/02/2021 |