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Individual
MR. THURMAN TY TOLBERT JR.
Active
Individual
MR. THURMAN TY TOLBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225800000X
Recreation Therapist
—
—
225A00000X
Music Therapist
—
—
247000000X
Health Information Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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