Individual
TYLER ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11090 183RD CIR NW STE C, ELK RIVER, MN 55330-2884
(763) 777-1381
Mailing address
11090 183RD CIR NW STE C, ELK RIVER, MN 55330-2884
(763) 777-1381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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