MR. Elmer David Tyree JR.
NPI #1255535738 in Hesperia, California
Provider Information
- NPI Number
- 1255535738
- Entity Type
- Individual
- Name
- MR. Elmer David Tyree JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11959 MARIPOSA RD
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-1637
- Phone
- (760) 956-2462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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