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Individual
TYSON JAMES CONNER
Active
Individual
TYSON JAMES CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH60735609
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026117
—
WA
Enumeration date
07/17/2014
Last updated
04/09/2020
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