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CHARLES TYSON
NPI 1679007876
Counselor - Addiction (Substance Use Disorder) in South San Francisco, CA

Active since April 13, 2017
306 SPRUCE AVE, SOUTH SAN FRANCISCO, CA 94080(650) 589-9305(650) 589-9330 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Tyson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES TYSON (NPI 1679007876) is an individual addiction (substance use disorder) provider in South San Francisco, California and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1679007876
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES TYSON
Location Address306 SPRUCE AVESouth San Francisco, CA 94080-2741
Mailing Address306 Spruce AveSouth San Francisco, CA 94080-2741 · (650) 589-9305 · Fax (650) 589-9330
Phone(650) 589-9305
Fax(650) 589-9330
Sole ProprietorNo
Enumeration DateApril 13, 2017
✔ NPI 1679007876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
306 SPRUCE AVE, South San Francisco, CA 94080
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE JOHNSON
Counselor (Addiction (Substance Use Disorder))
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
SANDRA GOMEZ
Counselor (Addiction (Substance Use Disorder))
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
MISS JENNY PUNZALAN JOVER RADT
Counselor (Addiction (Substance Use Disorder))
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
JAIME HERNANDEZ
Community/Behavioral Health
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
DEBBIE MADDEN
Counselor (Addiction (Substance Use Disorder))
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
JIMMY YANG LIANG
Case Manager/Care Coordinator
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (415) 200-9934
MARLENE CANADA
Social Worker
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305
MR. JOSEPH A. WAGENHOFER
Counselor
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 589-9305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Tyson's NPI number?

The NPI number for Charles Tyson is 1679007876. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Charles Tyson located?

Charles Tyson practices at 306 Spruce Ave, South San Francisco, CA 94080. The listed phone number is (650) 589-9305.

What is Charles Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Tyson was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.