MS. JENNIFER M TYSON B.A. CRIMINAL JUSTIC
NPI 1770723793
Counselor - Addiction (Substance Use Disorder) in Van Nuys, CA
Active since March 03, 2009
About Ms. Jennifer M Tyson B.a. Criminal Justic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER M TYSON B.A. CRIMINAL JUSTIC (NPI 1770723793) is an individual addiction (substance use disorder) provider in Van Nuys, California and active in the NPI registry since March 2009.
NPPES Registry Identity
NPI1770723793
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JENNIFER M TYSONCredential: B.A. CRIMINAL JUSTIC
Location Address15015 OXNARD STVan Nuys, CA 91411-2613
Mailing Address15015 Oxnard StVan Nuys, CA 91411-2613 · (818) 787-4151 · Fax (818) 787-2840
Phone(818) 787-4151
Fax(818) 787-2840
Sole ProprietorNo
Enumeration DateMarch 3, 2009
✔ NPI 1770723793 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
15015 OXNARD ST, Van Nuys, CA 91411
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
15015 OXNARD ST
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Counselor (Addiction (Substance Use Disorder))
15015 OXNARD ST
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Counselor (Addiction (Substance Use Disorder))
15015 OXNARD ST
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Counselor (Addiction (Substance Use Disorder))
15015 OXNARD ST
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Counselor (Addiction (Substance Use Disorder))
15015 OXNARD ST
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770723793, enumerated as an "individual" on March 03, 2009.
The provider is located at 15015 OXNARD ST VAN NUYS, CA 91411 and the phone number is (818) 787-4151.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).