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Individual

TIFFANY JACQUELINE IRIZARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
42 DUDLEY AVE, OKATIE, SC 29909-6304
(609) 462-9272
Mailing address
42 DUDLEY AVE, OKATIE, SC 29909-6304
(609) 462-9272

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10783
SC
101YP2500X
Professional Counselor
37PC00697900
NJ
101YP2500X
Professional Counselor
Primary
8129
SC
101YP2500X
Professional Counselor
LPC015076
GA

Other

Enumeration date
04/21/2020
Last updated
08/12/2025
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