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Individual
TYLER LEE MUDD
Active
Individual
TYLER LEE MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19002
NC
101YM0800X
Mental Health Counselor
Primary
A19002
NC
225C00000X
Rehabilitation Counselor
369300
—
Other
Enumeration date
08/09/2025
Last updated
06/18/2026
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