Individual
TYLER CUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIAC
Contact information
Practice address
1515 E CEDAR AVE STE E-2, FLAGSTAFF, AZ 86004-1646
(928) 714-0010
Mailing address
9116 W ARDEN LN, BELLEMONT, AZ 86015-5021
(480) 212-2946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-155362
AZ
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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