Individual provider · Type 1 NPI

Thomas Shane Tyus, CDCA

Addiction (Substance Use Disorder) Counselor · Clinton, OH

NPI number 1407386121 Active

Practice location

6694 Taylor Rd
Clinton, OH 44216-9201

Mailing address

945 Genoa Ave SW
Massillon, OH 44646-9425

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 1407386121

Thomas Shane Tyus, CDCA's National Provider Identifier is 1407386121, issued on Jun 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clinton, OH. The record was last updated on Jun 14, 2017.