Individual
MRS. EBONY TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1412 SAINT JAMES PL, KINSTON, NC 28504-2542
(252) 268-4695
Mailing address
1412 SAINT JAMES PL, KINSTON, NC 28504-2542
(252) 268-4695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
05/15/2017
Last updated
08/04/2025
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