CHARLES TYSON

SOUTH SAN FRANCISCO, CA
NPI1679007876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-04-13
Last Update Date2017-04-13
Business Address
-- CHARLES TYSON
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080-2741
Phone number: 650-589-9305
Mailing Address
-- CHARLES TYSON
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080-2741
Phone number: 650-589-9305
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