SearchIndiana101YM0800X

Tiffany Ickes, MHC

NPI 1336402171 · on the registry since 2012

Practice

Address
931 W Water St
Portland, IN 47371
Phone
(765) 288-1928
Fax
(765) 741-0335
Organisation at this address
Meridian Health Services Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2012-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana