Individual provider · Type 1 NPI
Tyler Everell Simpson
Addiction (Substance Use Disorder) Counselor · San Leandro, CA
NPI number
1972832061
Active
Practice location
1403 164th Ave
San Leandro, CA 94578-3123
Mailing address
4780 Rollinghills Way
Castro Valley, CA 94546-3738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972832061
Tyler Everell Simpson's National Provider Identifier is 1972832061, issued on Dec 18, 2009. 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 Dec 18, 2009.