person
Mr. Charles Tyler Upton, LISAC,PLC
Professional Counselor in Tucson, Arizona
NPI 1104136571

Charles Tyler Upton is a Professional Counselor based in Tucson, AZ and is specialized in Professional. Charles Tyler Upton practices in Tucson, AZ and has the professional credentials of LISAC,PLC. The NPI Number for Charles Tyler Upton is 1104136571 and holds a License No. LISAC10856 (Arizona).

The current practice location address for Charles Tyler Upton is 721 N. Fourth Ave, Tucson, AZ and can be reached out via phone at 520-202-1870 and via fax at 520-202-1889.

Location: 721 N. Fourth Ave, Tucson, AZ, 85719-2378
person
Provider Profile Details
NPI Number
1104136571
Provider Name
Charles Tyler Upton
Credential
LISAC,PLC
Provider Entity Type
Individual
Gender
Male
Address
721 N. Fourth Ave, Tucson, AZ, 85719-2378
Phone Number
520-202-1870
Fax Number
520-202-1889
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
721 N. Fourth Ave
City
State
Zip
85705
Phone Number
520-202-1870
Fax Number
520-202-1889
person
Provider Business Mailing Address Details
Address
721 N. Fourth Ave
City
State
Zip
85705
Phone Number
520-202-1870
Fax Number
520-202-1889
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC11260 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LISAC10856 (Arizona)
Definition
Definition to come...
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