Mr. Charles Tyler Upton, LISAC, PLC
Mr. Charles Tyler Upton, LISAC, PLC is an Addiction (Substance Use Disorder) Counselor in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2010.
- Licensed in
- AZ
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
721 N Fourth AveTucson, AZ 85705
Phone: (520) 202-1870
Fax: (520) 202-1889
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LISAC10856 (AZ) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence LPC11260 (AZ) |
Record details
| NPI number | 1104136571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LISAC , PLC |
| Sole proprietor | No |
| NPI enumerated | October 19, 2010 |
| Last updated in NPPES | October 19, 2010 |
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