Individual
MS. TIFFANY PELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
12304 LOS INDIOS TRL # A, AUSTIN, TX 78729-7625
(832) 318-4971
Mailing address
12304 LOS INDIOS TRL # A, AUSTIN, TX 78729-7625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13719
TX
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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