PHAROAH TYNES

Counselor - Mental Health

Active Individual
NPI: 1053723312

Practice Address

306 E MAIN ST
Stockton, CA 95202

Phone: (209) 478-4554

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1053723312 is the National Provider Identifier for PHAROAH TYNES, a Counselor - Mental Health provider located in Stockton, CA. This NPI was enumerated on May 21, 2014.
PHAROAH TYNES practices at 306 E MAIN ST, Stockton, CA 95202.

Quick Facts

NPI
1053723312
Type
Individual
Enumerated
May 21, 2014
Last Updated
Oct 4, 2021

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