Mr. Tyree Brabham Sr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356102917

Mr. Tyree Brabham Sr. is an Addiction (Substance Use Disorder) Counselor in Marcus Hook, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in: PA
In the registry since: 2024

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Practice location Address checks out

516 Market St Apt D1
Marcus Hook, PA 19061-4539
Phone: (267) 562-3409

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X (PA)

Record details

NPI number	1356102917
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 22, 2024
Last updated in NPPES	January 22, 2024
Certification date	January 21, 2024
Mailing address	217 E Somerville Ave # 1, Phila, PA 19120-3012