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Mr. Tyree Brabham SR.
Addiction (Substance Use Disorder) Counselor in Marcus Hook, Pennsylvania
NPI 1356102917

Tyree Brabham SR. is an Addiction (Substance Use Disorder) Counselor based in Phila, PA and is specialized in Addiction (Substance Use Disorder). Tyree Brabham SR. practices in Marcus Hook, PA. The NPI Number for Tyree Brabham SR. is 1356102917 and holds a License No. (Pennsylvania).

The current practice location address for Tyree Brabham SR. is 516 Market St Apt D1, Marcus Hook, PA and can be reached out via phone at 267-562-3409.

Location: 516 Market St Apt D1, Marcus Hook, PA, 19120-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356102917
Provider Name
Tyree Brabham SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
516 Market St Apt D1, Marcus Hook, PA, 19120-3012
Phone Number
267-562-3409
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
516 Market St Apt D1
City
Marcus Hook
State
Pennsylvania
Zip
19061-4539
Phone Number
267-562-3409
Fax Number
person
Provider Business Mailing Address Details
Address
516 Market St Apt D1
City
Marcus Hook
State
Pennsylvania
Zip
19061-4539
Phone Number
267-562-3409
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.
(Pennsylvania)
Definition
Definition to come...
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