Individual provider · Type 1 NPI

Charles Tyson

Addiction (Substance Use Disorder) Counselor · South San Francisco, CA

NPI number 1679007876 Active

Practice location

306 Spruce Ave
South San Francisco, CA 94080-2741

Call (650) 589-9305 Map

Fax (650) 589-9330

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 1679007876

Charles Tyson's National Provider Identifier is 1679007876, issued on Apr 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South San Francisco, CA. The record was last updated on Apr 13, 2017.