TYLER BRAZELTON

VACAVILLE, CA
NPI1114342748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
-- TYLER BRAZELTON
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
Mailing Address
-- TYLER BRAZELTON
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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