MR. Tyree Brabham SR.

NPI #1356102917 in Marcus Hook, Pennsylvania

Provider Information

NPI Number: 1356102917
Entity Type: Individual
Name: MR. Tyree Brabham SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 516 MARKET ST APT D1
City: Marcus Hook
State: Pennsylvania
ZIP Code: 19061-4539
Phone: (267) 562-3409

Specialties & Taxonomy Codes

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

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