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Individual
JOSH LEVI TYREE
Active
Individual
JOSH LEVI TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, PRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190156
OH
175T00000X
Peer Specialist
APS.004370
OH
Other
Enumeration date
09/12/2023
Last updated
04/18/2025
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