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Tyler Johnson
Addiction (Substance Use Disorder) Counselor in Grass Valley, California
NPI 1205462934

Tyler Johnson is an Addiction (Substance Use Disorder) Counselor based in Auburn, CA and is specialized in Addiction (Substance Use Disorder). Tyler Johnson practices in Grass Valley, CA. The NPI Number for Tyler Johnson is 1205462934 and holds a License No. (California).

The current practice location address for Tyler Johnson is 159 Brentwood Dr, Grass Valley, CA and can be reached out via phone at 530-271-1140.

Location: 159 Brentwood Dr, Grass Valley, CA, 95604-6028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205462934
Provider Name
Tyler Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
159 Brentwood Dr, Grass Valley, CA, 95604-6028
Phone Number
530-271-1140
Fax Number
Provider Enumeration Date
03/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
159 Brentwood Dr
City
Grass Valley
State
California
Zip
95945-5703
Phone Number
530-271-1140
Fax Number
person
Provider Business Mailing Address Details
Address
159 Brentwood Dr
City
Grass Valley
State
California
Zip
95945-5703
Phone Number
530-271-1140
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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