MRS. Ebony Tyson, LCAS-A
NPI #1275060857 in Kinston, North Carolina
Provider Information
- NPI Number
- 1275060857
- Entity Type
- Individual
- Name
- MRS. Ebony Tyson, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- May 15, 2017
- Last Updated
- Aug 4, 2025
Practice Location
- Address
- 1412 SAINT JAMES PL
- City
- Kinston
- State
- North Carolina
- ZIP Code
- 28504-2542
- Phone
- (252) 268-4695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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