Individual provider · Type 1 NPI

Tyrik Jamahl Locke

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1487279931 Active

Practice location

4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538

Call (559) 248-1548 Map

Mailing address

5355 W Holland Ave
Fresno, CA 93722-9162

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X1487279931 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11329 (CA)

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About NPI 1487279931

Tyrik Jamahl Locke's National Provider Identifier is 1487279931, issued on Jun 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on May 2, 2023.