Karla Jean Tyson, ASW
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1982258919
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1982258919
- Entity type
- Individual (NPI-1)
- Name
- Karla Jean Tyson
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2019
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 123178 | CA | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
9333 Tech Center DrSacramento, CA 95826-2583
Phone 520-899-3704
Mailing address
9333 Tech Center Dr Ste 100Sacramento, CA 95826-2585
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