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Individual

TYLER JAMES SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TLMLP, LPC

Contact information

Practice address
5201 JOHNSON DR STE 305, MISSION, KS 66205-2920
(913) 948-1871
Mailing address
6811 SHAWNEE MISSION PKWY STE 310, OVERLAND PARK, KS 66202-4088
(913) 948-1871

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KS
101YP2500X
Professional Counselor
3260
KS
103T00000X
Psychologist
Primary
2883
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201228510A
KS
Enumeration date
06/14/2018
Last updated
12/07/2020
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