Individual
MISS TIFFANY MARIE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 W COMMERCE ST, SAN ANTONIO, TX 78207-3611
(210) 434-0531
Mailing address
3701 W COMMERCE ST, SAN ANTONIO, TX 78207-3611
(210) 434-0531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
47466
TX
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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