Tyra L Bueno in Pontiac - Addiction (substance Use Disorder)

Tyra L Bueno - NPI 1528277431

Tyra L Bueno is a Addiction (substance Use Disorder) in Pontiac, Michigan. Tyra L Bueno practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tyra L Bueno is 1528277431. The last update date is 2007-07-08.

Tyra L Bueno's current location address is 363 W Huron St, Pontiac, Michigan. You can contact this provider via phone number 2487456940. The mailing address for Tyra L Bueno is 363 W Huron St, Pontiac, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyra L Bueno
Address 363 W Huron St, Pontiac, Michigan
Phone Number 2487456940
Fax Number
Sole Proprietor Y
Credentials BA, CAC1

NPI Number Detail

NPI Number 1528277431
Provider Enumeration Date 2007-05-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 363 W Huron St
City Pontiac
State Michigan (MI)
Post Code 483411423
Phone Number 2487456940
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Tyra L Bueno

What is the Tyra L Bueno's unique identification number?

The Tyra L Bueno has been assigned the NPI (National Provider Identifier) Number 1528277431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Tyra L Bueno's facilities are geographically located?

The facilities of Tyra L Bueno are physically situated at the following location: 363 W Huron St, Pontiac, MI, 483411423.

What is Tyra L Bueno's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tyra L Bueno is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528277431 to Tyra L Bueno?

The Centers for Medicare & Medicaid Services originally issued the 1528277431 to Tyra L Bueno on 2007-05-21.

When was the Tyra L Bueno's information last updated?

The Tyra L Bueno's information was last updated on 2007-07-08.

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