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Individual
ANTHONY TYRE
Active
Individual
ANTHONY TYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC-A, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23429
NC
101YM0800X
Mental Health Counselor
Primary
A13578
NC
Other
Enumeration date
02/07/2017
Last updated
01/13/2020
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