Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrone Raul Tennessee, LCDC-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962287003

Tyrone Raul Tennessee, LCDC-I is an Addiction (Substance Use Disorder) Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

519 E Quincy St
San Antonio, TX 78215-1632
Phone: (210) 299-1614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (TX)

Record details

NPI number1962287003
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC-I
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Other providers in San Antonio