Teasley, Iris Vanessa

Teasley, Iris Vanessa is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 , Lackland A F B TX 78236-9908. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Teasley, Iris Vanessa can be contacted via phone (210) 292-7702.

Contact Information

Primary practice address
2200 Bergquist Dr Ste 1 Lackland A F B TX 78236-9908
Phone: (210) 292-7702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1437480977
LBN Legal business name Teasley, Iris Vanessa
Credentials CADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2010
Last updated Jan 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437480977 NPPES
Other 0427 U. S. AIR FORCE CERTIFIED ALCOHOL AND DRUG ABUSE COUNSELOR

Popular Providers