Individual
TYLER BORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
55 OTTAWA AVE SW APT 612, GRAND RAPIDS, MI 49503-4044
(616) 805-9966
Mailing address
55 OTTAWA AVE SW APT 612, GRAND RAPIDS, MI 49503-4044
(616) 805-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801106011
MI
Other
Enumeration date
01/28/2009
Last updated
09/27/2023
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