MICHAEL TYSON

CAPITOLA, CA
NPI1417975400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC22682)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
MICHAEL TYSON LMFT
4245 CAPITOLA RD SUITE 205
CAPITOLA, CA 95010-3573
Phone number: 831-475-6711
Mailing Address
MICHAEL TYSON LMFT
4245 CAPITOLA RD SUITE 205
CAPITOLA, CA 95010-3573
Phone number: 831-475-6711
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