Tyiesha Jacquett
NPI #1164815775 in Spring Valley, California
Provider Information
- NPI Number
- 1164815775
- Entity Type
- Individual
- Name
- Tyiesha Jacquett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 7, 2015
- Last Updated
- Mar 7, 2015
Practice Location
- Address
- 2315 BAR BIT RD
- City
- Spring Valley
- State
- California
- ZIP Code
- 91978-1901
- Phone
- (619) 337-3830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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