Individual
MR. GLENN WILLIAM TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8015 W ALAMEDA AVE, LAKEWOOD, CO 80226-3041
(720) 767-2893
Mailing address
10344 W 44TH AVE APT 2C, WHEAT RIDGE, CO 80033-2741
(973) 647-5558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0016334
CO
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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