Individual
TYLER JAMES AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 D ST STE R, MARYSVILLE, CA 95901-5952
(530) 702-0087
(530) 232-3324
Mailing address
201 D ST STE R, MARYSVILLE, CA 95901-5952
(530) 702-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
09/21/2012
Last updated
05/13/2025
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