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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone 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.