Derek Leon Tyus
Derek Leon Tyus is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1320 Mendota St Ste 120Madison, WI 53714-1060
Phone: (608) 280-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 130839 (WI) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 18134 (WI) |
Record details
| NPI number | 1689144404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 5, 2018 |
| Last updated in NPPES | December 5, 2018 |
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