Individual provider · Type 1 NPI

Tara S. Tyus, FSAC

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1144346131 Active

Practice location

13340 E Warren Ave
Detroit, MI 48215-2112

Fax (313) 822-6946

Mailing address

11476 Balfour Rd
Detroit, MI 48224-1188

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 1144346131

Tara S. Tyus, FSAC's National Provider Identifier is 1144346131, issued on Mar 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.