National Provider Identifier

Tiffany Jane Goodenough

Tiffany Jane Goodenough is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Warsaw, NY and a listed phone number of (585) 786-0220.

NPI 1508639915Warsaw, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1508639915
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
November 07, 2023
Last Updated
November 07, 2023

Practice Location

  • 34 N Main St
  • Warsaw, NY 14569-1326

Phone: (585) 786-0220

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1508639915
Entity Type
Individual
Last Name
Goodenough
First Name
Tiffany
Middle Name
Jane
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
34 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1326
Practice Country
US
Practice Phone
(585) 786-0220
Practice Fax
(585) 786-3631
Enumeration Date
November 07, 2023
Last Updated
November 07, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 07, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)