| Tyrus Autumn Wilson, | |
|
2060 Campus Dr, Yreka, CA 96097-9538 | |
| (530) 841-4704 | |
| Not Available |
| Full Name | Tyrus Autumn Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2060 Campus Dr, Yreka, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558197426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrus Autumn Wilson, 2060 Campus Dr, Yreka, CA 96097-9538 Ph: (530) 841-4704 | Tyrus Autumn Wilson, 2060 Campus Dr, Yreka, CA 96097-9538 Ph: (530) 841-4704 |
Toby Ann Reusze, LICENSED AOD COUNSEL Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4100 Fax: 530-841-4881 | |
Frank J Cunha, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 4th St, Yreka, CA 96097 Phone: 530-841-7190 Fax: 530-841-7194 | |
Christina D Ralston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4100 | |
Lori Stafford Steele, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4770 Fax: 530-841-4799 | |
Paul Kay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4789 | |
Sierra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4100 | |
Jenna Matea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Campus Dr, Yreka, CA 96097 Phone: 530-841-4704 |