Denee Marie Tysol, SUDCC

Case Manager/Care Coordinator · Fairfield, CA

Individual Active NPI

NPI number 1184392631

Practice location

2101 Courage Dr # Ms 10-100
Fairfield, CA 94533-6717
Phone
(707) 784-2271

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NPI record

NPI
1184392631
Entity type
Individual (Type 1)
Enumeration date
August 31, 2021
Last updated
April 2, 2025
Certified
April 2, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Addiction (Substance Use Disorder) Counselor 101YA0400X 13816 CA

About Denee Tysol

Denee Marie Tysol, SUDCC is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2101 Courage Dr # Ms 10-100, Fairfield, CA 94533-6717. The NPI number 1184392631 was assigned on August 31, 2021 and the record was last updated on April 2, 2025.

Denee Tysol lists a license in the registry: #13816 (CA) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Denee Marie Tysol, SUDCC?

The NPI number is 1184392631.

What is the phone number of Denee Tysol?

The phone number listed for the practice location is (707) 784-2271.

Where is Denee Tysol located?

2101 Courage Dr # Ms 10-100, Fairfield, CA 94533-6717.

What is the taxonomy code for Denee Tysol?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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