| Doctor Name: | MRS. TIFFANY ANN ALLRED |
| NPI Number: | 1205135423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSAC |
| License Number: | 6408205-6006 |
| Business Practice Address: | 3075 N Main St Spanish Fork, UT - 846609506 |
| Business Phone Number: | 8018517688 |
| Business Fax Number: | |
| Mailing Address: | 1214 Foothill Dr, SANTAQUIN |
| State: | UT |
| Postal Code: | 846555507 |
| Phone Number: | 8017541329 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2011 |
| NPI Last Update Date: | 03/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6408205-6006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |