MR. TYRONE JERROD FIELDS (TJ) NCCPSS CADC-R NPI 1063107472

NPI Information

NPI: 1063107472
Provider Name: MR. TYRONE JERROD FIELDS (TJ), NCCPSS, CADC-R
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3427 MELROSE RD
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 864-8739
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MR. Tyrone Jerrod Fields (tj), NCCPSS, CADC-R is an addiction (substance use disorder) counselor in Fayetteville, NC. MR. Tyrone Jerrod Fields (tj), NCCPSS, CADC-R NPI is 1063107472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3427 MELROSE RD
FAYETTEVILLE, NC
ZIP 28304-608
Phone: (910) 864-8739
Fax: (910) 864-8222

The enumeration date for this NPI number is 4/11/2023 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CADC-28086	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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