Individual
TYRONE JON KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301-5766
(505) 722-9470
(505) 722-9570
Mailing address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301-5766
(505) 722-9470
(505) 722-9570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAD0225331
NM
Other
Enumeration date
08/08/2022
Last updated
09/03/2025
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