Shawn Tyson
Counselor, Addiction (Substance Use Disorder) in Hartford, CT. Individual provider (NPI-1).
NPI number1164064044
StatusActive
Last updated in NPPESOct 12, 2019
Details
- NPI
- 1164064044
- Entity type
- Individual (NPI-1)
- Name
- Shawn Tyson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2019
- Last updated
- Oct 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1329 | CT | Yes |
Practice location
330 Main St Fl 1Hartford, CT 06106-1851
Phone 860-778-9078
Mailing address
Po Box 331271West Hartford, CT 06133-1271
Phone 860-778-9078
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All 84 Addiction (Substance Use Disorder) Counselor providers in Hartford · All 7,134 providers in Hartford
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