Provider Demographics
NPI:1790370237
Name:PASTANA, TIFFANY DIANE (LPCC, LCPC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DIANE
Last Name:PASTANA
Suffix:
Gender:F
Credentials:LPCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 COLORADO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3327
Mailing Address - Country:US
Mailing Address - Phone:530-830-1775
Mailing Address - Fax:
Practice Address - Street 1:565 COLORADO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3327
Practice Address - Country:US
Practice Address - Phone:530-830-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-06
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18738101Y00000X
NVCP6060-R101Y00000X
CALPCC18738101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor