Tiffany Clinton, LPC
Counselor, Professional in San Antonio, TX. Individual provider (NPI-1).
NPI number1669940136
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1669940136
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Clinton
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2018
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2014022275 | MO | Yes |
| 101YP2500X | Counselor, Professional | 93674 | TX |
Practice location
711 E Josephine StSan Antonio, TX 78208-1027
Phone 210-261-3800 · Fax 210-261-1807
Mailing address
6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293
Phone 210-261-1060 · Fax 210-261-1821
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