Individual provider · Type 1 NPI
Tyrone Kilson
Addiction (Substance Use Disorder) Counselor · San Leandro, CA
NPI number
1225239221
Active
Practice location
1403 164th Ave
San Leandro, CA 94578-3123
Mailing address
6718 Flora St
Oakland, CA 94621-3626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225239221
Tyrone Kilson's National Provider Identifier is 1225239221, issued on May 29, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.