MR. Tye Moses Krieger, RADT1
NPI #1184194300 in Lemon Grove, California
Provider Information
- NPI Number
- 1184194300
- Entity Type
- Individual
- Name
- MR. Tye Moses Krieger, RADT1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- RADT1
- Enumeration Date
- Nov 30, 2018
- Last Updated
- Nov 30, 2018
Practice Location
- Address
- 2219 ODESSA CT
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-3609
- Phone
- (619) 461-4871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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