Tyquan Bracker
Tyquan Bracker is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
460 Brielle AveStaten Island, NY 10314-6427
Phone: (718) 816-6589
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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 |
|---|
Record details
| NPI number | 1972997930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2015 |
| Last updated in NPPES | March 26, 2015 |
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