Individual
KIZZY GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 BIG DIVIDE RD, COPPERAS COVE, TX 76522-3265
(580) 280-0121
Mailing address
2267 BIG DIVIDE RD, COPPERAS COVE, TX 76522-3265
(580) 280-0121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79136
TX
175T00000X
Peer Specialist
1018-0319
TX
Other
Enumeration date
10/27/2019
Last updated
03/13/2025
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