Individual
TYSON ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
1645 US HIGHWAY 93 S STE D, KALISPELL, MT 59901-5776
(406) 314-6565
(406) 314-6566
Mailing address
1645 US HIGHWAY 93 S STE D, KALISPELL, MT 59901-5776
(406) 314-6565
(406) 314-6566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-57420
MT
101YS0200X
School Counselor
83795
MT
Other
Enumeration date
09/21/2020
Last updated
02/21/2024
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