Individual
TYLER PAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
Mailing address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26222
NC
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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