Tyler Gross-Stuart

NPI #1316303381 in Nipomo, California

Provider Information

NPI Number: 1316303381
Entity Type: Individual
Name: Tyler Gross-Stuart
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 6, 2016
Last Updated: Jan 6, 2016

Practice Location

Address: 630 W TEFFT ST UNIT 1011
City: Nipomo
State: California
ZIP Code: 93444-7053
Phone: (805) 478-1689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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