Individual provider · Type 1 NPI

Walter M. Tyson

Addiction (Substance Use Disorder) Counselor · Chattanooga, TN

NPI number 1104935758 Active

Practice location

150 Debra Rd
Chattanooga, TN 37411-5616

Mailing address

802 Brynewood Park Ln
Chattanooga, TN 37415-2305

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104935758

Walter M. Tyson's National Provider Identifier is 1104935758, issued on Aug 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 8, 2007.