Individual provider · Type 1 NPI

Alexis Tyson

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1588946255 Active

Practice location

2542 Mckean St
San Diego, CA 92136-0001

Call (619) 556-1868 Map

Mailing address

3422 Marathon Dr
San Diego, CA 92123-2622

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 1588946255

Alexis Tyson's National Provider Identifier is 1588946255, issued on Sep 19, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Sep 19, 2011.