| Doctor Name: | MS. TIFFANY KENYA REDDING |
| NPI Number: | 1043316433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, CAC-I |
| License Number: | 820118 |
| Business Practice Address: | 19275 Northline Rd Southgate, MI - 481952220 |
| Business Phone Number: | 7347857705 |
| Business Fax Number: | 7342871679 |
| Mailing Address: | 16715 Barberry St, Apt A8 SOUTHGATE |
| State: | MI |
| Postal Code: | 481951545 |
| Phone Number: | 7347857705 |
| Fax Number: | 7342871679 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 820118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |