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Shawn Tyson
Addiction (Substance Use Disorder) Counselor in Hartford, Connecticut
NPI 1164064044

Shawn Tyson is an Addiction (Substance Use Disorder) Counselor based in West Hartford, CT and is specialized in Addiction (Substance Use Disorder). Shawn Tyson practices in Hartford, CT. The NPI Number for Shawn Tyson is 1164064044 and holds a License No. 1329 (Connecticut).

The current practice location address for Shawn Tyson is 330 Main St Fl 1, Hartford, CT and can be reached out via phone at 860-778-9078.

Location: 330 Main St Fl 1, Hartford, CT, 06133-1271
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Provider Profile Details
NPI Number
1164064044
Provider Name
Shawn Tyson
Credential
Provider Entity Type
Individual
Gender
Male
Address
330 Main St Fl 1, Hartford, CT, 06133-1271
Phone Number
860-778-9078
Fax Number
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329 05 CT
institution
Provider Business Practice Location Address Details
Address
330 Main St Fl 1
City
State
Zip
06106-1851
Phone Number
860-778-9078
Fax Number
person
Provider Business Mailing Address Details
Address
330 Main St Fl 1
City
State
Zip
06106-1851
Phone Number
860-778-9078
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1329 (Connecticut)
Definition
Definition to come...
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