Individual
MR. CHRISTOPER MAURICE LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC II
Contact information
Practice address
912 DALEMORE LN, CORDOVA, TN 38018-8238
(901) 653-8352
Mailing address
912 DALEMORE LN, CORDOVA, TN 38018-8238
(901) 653-8352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1628
TN
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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