| Tyler Gross-stuart, | |
|
630 W Tefft St Unit 1011, Nipomo, CA 93444-7053 | |
| (805) 478-1689 | |
| Not Available |
| Full Name | Tyler Gross-stuart |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 630 W Tefft St Unit 1011, Nipomo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316303381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Gross-stuart, Po Box 1011, Nipomo, CA 93444-1011 Ph: (805) 478-1689 | Tyler Gross-stuart, 630 W Tefft St Unit 1011, Nipomo, CA 93444-7053 Ph: (805) 478-1689 |
Mrs. Shannon Lynne Hirase, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 N Thompson Ave, Nipomo, CA 93444 Phone: 805-474-3300 | |
Taylor Renee Lauridsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 649 Story St, Nipomo, CA 93444 Phone: 805-264-3717 | |
Mr. Owen Charles Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Camino Caballo, Nipomo, CA 93444 Phone: 559-760-6530 | |
Mrs. Joni Kaye Brewer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1460 Country Hill Rd, Nipomo, CA 93444 Phone: 805-925-9811 Fax: 805-925-9706 | |
Hannah Song Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E. Knotts St., Nipomo, CA 93444 Phone: 805-903-2195 | |
Haylie Jenna Pennachio, B.S. PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Angelina Court, Nipomo, CA 93444 Phone: 805-235-0696 |