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

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