TYSON JAYE SAM

ALBUQUERQUE, NM
NPI1982937330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CTB-2026-0225)
Enumeration Date2009-09-16
Last Update Date2026-03-27
Business Address
Mr. TYSON JAYE SAM BA, AA Psych
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102-3276
Phone number: 505-200-1654
Mailing Address
Mr. TYSON JAYE SAM BA, AA Psych
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102-3276
Phone number: 505-200-1654
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