| Doctor Name: | TYLER GIFFEY |
| NPI Number: | 1114132206 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LAC |
| License Number: | GIF-82-9554 |
| Business Practice Address: | Hwy 281n Cando, ND - 58324 |
| Business Phone Number: | 7019682554 |
| Business Fax Number: | 7019682574 |
| Mailing Address: | Po Box 688, CANDO |
| State: | ND |
| Postal Code: | 583240688 |
| Phone Number: | 7019682568 |
| Fax Number: | 7019682552 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | GIF-82-9554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |