Tyson Fabyanske, MA, LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI

1194171736

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

303921 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2016-05-12

Last updated

2016-05-12