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Individual
TANYA M TYRRELL
Active
Individual
TANYA M TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAC, ACS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001264
CO
1041C0700X
Clinical Social Worker
ACS.3173
—
1041C0700X
Clinical Social Worker
Primary
CSW.09925171
CO
Other
Enumeration date
06/22/2015
Last updated
09/13/2021
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