Individual provider · Type 1 NPI

Tyson Fabyanske, MA, LADC

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1194171736 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Call (651) 628-9566 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303921 (MN)

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

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About NPI 1194171736

Tyson Fabyanske, MA, LADC's National Provider Identifier is 1194171736, issued on May 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on May 12, 2016.