Individual provider · Type 1 NPI

Tyiesha Jacquett

Addiction (Substance Use Disorder) Counselor · Spring Valley, CA

NPI number 1164815775 Active

Practice location

2315 Bar Bit Rd
Spring Valley, CA 91978-1901

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 1164815775

Tyiesha Jacquett's National Provider Identifier is 1164815775, issued on Mar 7, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spring Valley, CA. The record was last updated on Mar 7, 2015.