Individual
TYRONE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17368 W 12 MILE RD STE 201, SOUTHFIELD, MI 48076-6308
(313) 492-8452
Mailing address
17368 W 12 MILE RD STE 201, SOUTHFIELD, MI 48076-6308
(313) 492-8452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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