LISA M TYSON-LONG

MODESTO, CA
NPI1043518327
Former NameLISA M TYSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-03-10
Last Update Date2011-03-10
Business Address
Mrs. LISA M TYSON-LONG RAS
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Mailing Address
Mrs. LISA M TYSON-LONG RAS
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Similar providers in Modesto, CA
JON NICHOLS
RISHA AYALA
JENNIFER LYNN GLASGOW
THOMAS MICHAEL BUCKLES
STACY FELT
ROXANNE MITCHELL
SENY MADRIZ FAJARDO
MICHAEL K GREENLEE
JACLYN HESLING
ARELI MARARI PADRON SANCHEZ