Individual
TIFFENY A IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2186 JACKSON KELLER RD STE 2223, SAN ANTONIO, TX 78213-2723
(214) 796-2077
Mailing address
1226 QUARTZITE ST, CEDAR HILL, TX 75104-7317
(214) 796-2077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17338
TX
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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