Tyra Shavon Tate
Tyra Shavon Tate is an Addiction (Substance Use Disorder) Counselor in Ceres, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1904 Richland AveCeres, CA 95307-4562
Phone: (209) 541-7441
Fax: (209) 541-2114
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 20152 (CA) |
|---|
Record details
| NPI number | 1104638808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 21, 2025 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 21, 2025 |
| Mailing address | 1904 Richland Ave, Ceres, CA 95307-4562 |
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MS. Sydnee Kae Stephens, SUDCC
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