Individual
CARLY TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4473 220TH AVE, REED CITY, MI 49677-8593
(231) 832-2247
Mailing address
20620 23 MILE RD, PARIS, MI 49338-9708
(231) 679-6588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401-015667
MI
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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